Miranda Rachelle Rounds, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1601 Greenhouse Rd
Bentonville, AR 72713-9292

Phone

(479) 795-1260

Fax

(479) 795-1261

NPI assigned

Jan 9, 2013

Last updated

Oct 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Imagine Occupational Therapy Services

  dba Imagine Pediatric Therapies

  • Occupational Therapist
  • Bentonville, AR
  • NPI 1124241120

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1780921874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CARRIAGEWAY AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127532",
            "telephone_number": "402-215-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GREENHOUSE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139292",
            "telephone_number": "479-795-1260",
            "fax_number": "479-795-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDS",
        "first_name": "MIRANDA",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP3429",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201369721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5DF79",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Romero Ismael Romero Gorostieta
• Root & Path LLC (Root & Path)
• Savannah Maensivu Rosamond
• Erin Kristen Rosso, PT
• Mendy Roth
• Hope Rowe, AU.D.
• Kristine Kwon Rowland, APRN
• Rachael R Rowray, MPT
• RS Renewal LLC
• Rosanna Nicole Rubley, APRN

• Speech-Language Pathologist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.