Individual provider Active NPI

Caylin M Thompson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Benton, AR
National Provider Identifier
1750983342
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
201591 Issued in AR
Practice address
1812 Maple RDG
Benton, AR 72019-7051
Phone
(870) 904-9163
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 201591 AR Primary

Addresses

Primary practice location

1812 Maple RDG
Benton, AR 72019-7051

Mailing address

1812 Maple RDG
Benton, AR 72019-7051
Phone (870) 904-9163

Other identifiers 1

IdentifierTypeStateIssuer
255975721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527002726 AR Practitioner - Qualified Speech Language Pathologist 1254730062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
201591ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Therapy Co. CurrentSince May 21, 2021 Accepting new patients
Busy Bees Pediatric Therapy Services, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

707 N Cardinal Dr
Ste 3
Mountain Home, AR 72653
Phone (870) 404-0270

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1750983342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 MAPLE RDG",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720197051",
            "telephone_number": "870-904-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MAPLE RDG",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720197051",
            "telephone_number": "870-904-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAYLIN",
        "middle_name": "M",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255975721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.