Active NPI
Amy Reed
- Speech-Language Pathologist
- Springdale, AR
National Provider Identifier
1790142453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2210 Main Dr
Springdale, AR 72762-6802 - Phone
- (479) 856-6397
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 3308 | CA | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2210 Main Dr
Springdale, AR 72762-6802
Mailing address
650 Commerce Ave Ste D
Palmdale, CA 93551-3884
Other practice location 1
3307 N Dixieland Rd
Rogers, AR 72756-6816
Phone (479) 986-5150
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids for the Future Rogers, Inc. | Past | Accepting new patients | |
| Kidscorp of Fayetteville, Inc | 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.
-
- Developmental Disabilities Clinic/Center
- Rogers, AR
- NPI 1508037870
-
- Developmental Disabilities Clinic/Center
- Springdale, AR
- NPI 1790124659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1790142453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 COMMERCE AVE STE D",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MAIN DR",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626802",
"telephone_number": "479-856-6397"
}
],
"practiceLocations": [
{
"address_1": "3307 N Dixieland Rd",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727566816",
"country_code": "US",
"telephone_number": "479-986-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "3308",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.