Individual provider Active NPI

Whitney Brannon Marcotte, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fort Smith, AR
National Provider Identifier
1760747190
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11660 Issued in FL
Practice address
1916 Rannoch Trce
Fort Smith, AR 72908-0973
Phone
(479) 650-1556
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA11660 FL Primary
Speech-Language Pathologist 235Z00000X P8512 AR

Addresses

Primary practice location

1916 Rannoch Trce
Fort Smith, AR 72908-0973

Mailing address

1916 Rannoch Trce
Fort Smith, AR 72908-0973
Phone (479) 650-1556

Other names 1

  • Miss Whitney Jean Brannon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P8512ARMDSpeech-Language Pathologist
SA11660FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Past Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1760747190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 RANNOCH TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729080973",
            "telephone_number": "479-650-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 RANNOCH TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729080973",
            "telephone_number": "479-650-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "WHITNEY",
        "middle_name": "BRANNON",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11660",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "P8512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "BRANNON",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.