Individual provider Active NPI

Hannah Kay Bagley

  • Speech-Language Pathologist
  • Rogers, AR
National Provider Identifier
1821771965
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2510 W Hudson Rd
Rogers, AR 72756-2072
Phone
(479) 936-1061
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 Primary

Addresses

Primary practice location

2510 W Hudson Rd
Rogers, AR 72756-2072

Mailing address

3901 SW Peachwood Dr
Bentonville, AR 72713-3036
Phone (501) 551-0651

Other names 1

  • Hannah Kay Leslie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620000629 TN Practitioner - Qualified Speech Language Pathologist 9739622622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8482TNMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Therapy Services, Inc. Speech-Language Pathologist CurrentSince Sep 23, 2024 Accepting new patients
Arise Therapies LLC Speech-Language Pathologist CurrentSince Apr 2, 2024 Accepting new patients
Regional Therapy Services, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Kelly Mingus Speech Pathology LLC PastSince Aug 1, 2023 Accepting new patients

Locations

2510 W Hudson Rd
Rogers, AR 72756
Phone (479) 936-1061

3011 Longford Dr
Ste 4
Spring Hill, TN 37174
Phone (615) 241-0122

Organizations & group practices 4

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1821771965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SW PEACHWOOD DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727133036",
            "telephone_number": "501-551-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W HUDSON RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562072",
            "telephone_number": "479-936-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "HANNAH KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH KAY",
            "last_name": "LESLIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.