Active NPI
Alicia Carter Brucks, SLP
- Speech-Language Pathologist
- Little Rock, AR
National Provider Identifier
1841489234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 760
- Practice address
- 9601 Interstate 630
Little Rock, AR 72205-7202 - Phone
- (501) 202-2119
- Fax
- (501) 202-6244
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 760 | AR | Primary |
Addresses
Primary practice location
9601 Interstate 630
Little Rock, AR 72205-7202
Mailing address
9601 Interstate 630
Little Rock, AR 72205-7202
Phone (501) 202-2119
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 760 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1841489234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 INTERSTATE 630",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057202",
"telephone_number": "501-202-2119",
"fax_number": "501-202-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 INTERSTATE 630",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057202",
"telephone_number": "501-202-2119",
"fax_number": "501-202-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCKS",
"first_name": "ALICIA",
"middle_name": "CARTER",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.