Active NPI
Bald Knob Special School District
- Speech-Language Pathologist
- Bald Knob, AR
National Provider Identifier
1770619645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BALD KNOB SPECIAL SCHOOL DISTRICT
- Practice address
- 103 W Park Ave
Bald Knob, AR 72010-3162 - Phone
- (501) 724-5015
- Fax
- (501) 724-6253
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacy Sanders, SLP
- Title
- Speech Language Pathologist
- Phone
- (501) 724-3714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AR | Primary |
Addresses
Primary practice location
103 W Park Ave
Bald Knob, AR 72010-3162
Mailing address
103 W Park Ave
Bald Knob, AR 72010-3162
Phone (501) 724-5015
National Provider Directory
National Provider DirectoryLocations
103 W Park Ave
Bald Knob, AR 72010
Phone (501) 724-3714
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Bald Knob, AR
- NPI 1669630976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1770619645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W PARK AVE",
"city": "BALD KNOB",
"state": "AR",
"postal_code": "720103162",
"telephone_number": "501-724-5015",
"fax_number": "501-724-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W PARK AVE",
"city": "BALD KNOB",
"state": "AR",
"postal_code": "720103162",
"telephone_number": "501-724-5015",
"fax_number": "501-724-6253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALD KNOB SPECIAL SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "501-724-3714",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bald Knob, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.