Organization Active NPI

Bald Knob Special School District

  • Speech-Language Pathologist
  • Bald Knob, AR
National Provider Identifier
1770619645
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.