Organization Active NPI

Stephens Speech Clinic

  • Speech-Language Pathologist
  • Harrison, AR
National Provider Identifier
1811367519
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STEPHENS SPEECH CLINIC
Practice address
400A E Highway 43
Harrison, AR 72601-6514
Phone
(870) 204-5019
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Mrs. Amy Briggs
Title
Secretary
Phone
(870) 204-5019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

400A E Highway 43
Harrison, AR 72601-6514

Mailing address

400A E Highway 43
Harrison, AR 72601-6514
Phone (870) 204-5019

Other identifiers 1

IdentifierTypeStateIssuer
131773742MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Stephens Speech Clinic PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400A E Highway 43
Harrison, AR 72601
Phone (870) 204-5019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1811367519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400A E HIGHWAY 43",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016514",
            "telephone_number": "870-204-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400A E HIGHWAY 43",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016514",
            "telephone_number": "870-204-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS SPEECH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "870-204-5019",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131773742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.