Individual provider Active NPI

Sharon B Goode, MSP

  • Speech-Language Pathologist
  • West Memphis, AR
National Provider Identifier
1821175308
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP624 Issued in AR
Practice address
620 Thompson Ave
West Memphis, AR 72301-3257
Phone
(870) 702-4911
Fax
(870) 702-6386
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP624 AR Primary

Addresses

Primary practice location

620 Thompson Ave
West Memphis, AR 72301-3257

Mailing address

344 Darby Rd
Marion, AR 72364-9512
Phone (870) 739-6050

Other identifiers 1

IdentifierTypeStateIssuer
5W933OtherARSPEECH LANGUAGE PATH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP624ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goode Communications, Etc.,Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821175308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 DARBY RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649512",
            "telephone_number": "870-739-6050",
            "fax_number": "870-702-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 THOMPSON AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013257",
            "telephone_number": "870-702-4911",
            "fax_number": "870-702-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "SHARON",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATH",
            "identifier": "5W933",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.