Active NPI
Lezlie R Arnold
- Speech-Language Pathologist
- Danville, AR
National Provider Identifier
1790974236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1033
- Practice address
- 10668 Lydia LN
Danville, AR 72833-6890 - Phone
- (479) 967-2286
- NPI assigned
- Oct 22, 2007
- Last updated
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1033 | AR | Primary |
Addresses
Primary practice location
10668 Lydia LN
Danville, AR 72833-6890
Mailing address
10668 Lydia LN
Danville, AR 72833-6890
Phone (479) 967-2286
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP1033 | Other | AR | LICENSE NUMBER |
| 01107021 | Other | AR | CERTIFICATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1033 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1790974236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10668 LYDIA LN",
"city": "DANVILLE",
"state": "AR",
"postal_code": "728336890",
"telephone_number": "479-967-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10668 LYDIA LN",
"city": "DANVILLE",
"state": "AR",
"postal_code": "728336890",
"telephone_number": "479-967-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "LEZLIE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP1033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SP1033",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION",
"identifier": "01107021",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.