Lezle Church Rupert, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1069 Issued in AR

Practice address

2 Blowing Springs Rd
Bella Vista, AR 72714-3552

Phone

(479) 696-3700

NPI assigned

Aug 13, 2009

Last updated

Aug 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lezle Bonita Rupert Other name

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.

• Bentonville Public Schools

  • Local Education Agency (LEA)
  • Bentonville, AR
  • NPI 1902941255
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1790917425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TIGER BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124208",
            "telephone_number": "479-254-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BLOWING SPRINGS RD",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143552",
            "telephone_number": "479-696-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "LEZLE",
        "middle_name": "CHURCH",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEZLE",
            "last_name": "RUPERT",
            "middle_name": "BONITA",
            "prefix": "MRS.",
            "credential": "M.S., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron Riley
• Cara L. Riley, DO
• Robin Renee Ritter, RPH
• River Dental Bella Vista PLLC
• Ralawnda Ruth Rodriguez, PTA
• Betty Jo Sammer, ARNP
• Michael Dallas Sammer, MD
• Robert V Sanders III, MD
• Maggi Lenee Scroggins, PA-C
• Nelson Andrew Seal, APN

• Speech-Language Pathologist in Bella Vista, AR
• Providers in Bella Vista, 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 Aug 13, 2009; 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.