Gina Higginbotham, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1121 Issued in AR

Practice address

42 Helter Rd
Pocahontas, AR 72455-1359

Phone

(870) 248-1448

Fax

(870) 248-1450

NPI assigned

Nov 22, 2005

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 identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Higginbotham Therapy Providers LLC

  • Speech-Language Pathologist
  • Pocahontas, AR
  • NPI 1659676443
  NPD Authorized official
• Its Support Services LLC

  • Speech-Language Pathologist
  • Pocahontas, AR
  • NPI 1962213389
  NPD Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1801879952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 DECLIFF LN",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551383",
            "telephone_number": "870-892-9593",
            "fax_number": "870-892-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HELTER RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551359",
            "telephone_number": "870-248-1448",
            "fax_number": "870-248-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Broad St",
            "address_purpose": "LOCATION",
            "city": "Hoxie",
            "state": "AR",
            "postal_code": "724332419",
            "country_code": "US",
            "telephone_number": "870-679-1506",
            "fax_number": "870-679-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "5X801",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129521721",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "higgtherapy@gmail.com",
            "affiliation": "N",
            "address_1": "42 Helter Rd",
            "city": "Pocahontas",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724551359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Hayes, LMFT
• Kodi G Herndon, LCSW
• Staci Herring, OT-A
• Higginbotham Therapy Providers LLC
• David Higginbotham, PTA
• Shayna Danielle Hilderbran, LMSW
• David Jacob Hinkle
• Marilyn Kay Hogan, MSP, CCC-SLP
• Marissa Hogan
• Caitlyn Holder, DPT

• Speech-Language Pathologist in Pocahontas, AR
• Providers in Pocahontas, 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 Jul 26, 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.