NPIMap

Organization Active NPI

Dystinguished Learners LLC

  • Hearing and Speech Clinic/Center
  • Conway, AR
National Provider Identifier
1831664408
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
DYSTINGUISHED LEARNERS LLC
Practice address
2825 Clover LN
Conway, AR 72032-8997
Phone
(870) 550-7003
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Radiah ReynoldsNPI 1083919948
Title
SLP/Owner
Phone
(870) 550-7003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

2825 Clover LN
Conway, AR 72032-8997

Mailing address

500 Amity Rd, Suite 5B #139
Conway, AR 72032

National Provider Directory

National Provider Directory

Locations

500 Amity Rd
Ste 5B
Conway, AR 72032
Phone (501) 358-3863

201 E G St
Russellville, AR 72801

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": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1831664408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AMITY RD, SUITE 5B #139",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 CLOVER LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328997",
            "telephone_number": "870-550-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSTINGUISHED LEARNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "RADIAH",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "870-550-7003"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.