Active NPI
Chris Webber, BSE/SLT
- Speech-Language Assistant
- Pangburn, AR
National Provider Identifier
1841464161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 1100 Short St
Pangburn, AR 72121-8836 - Phone
- (501) 728-4912
- NPI assigned
- Apr 17, 2008
- Last updated
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | AR | Primary |
Addresses
Primary practice location
1100 Short St
Pangburn, AR 72121-8836
Mailing address
1100 Short St
Pangburn, AR 72121-8836
Phone (501) 728-4912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173089795 | Medicaid | AR |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1841464161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHORT ST",
"city": "PANGBURN",
"state": "AR",
"postal_code": "721218836",
"telephone_number": "501-728-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SHORT ST",
"city": "PANGBURN",
"state": "AR",
"postal_code": "721218836",
"telephone_number": "501-728-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBBER",
"first_name": "CHRIS",
"credential": "BSE/SLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173089795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pangburn, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.