Individual provider Active NPI

Kathryn Gober

  • Speech-Language Assistant
  • Little Rock, AR
National Provider Identifier
1841911534
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
202016 Issued in AR
Practice address
6311 Baseline Rd
Little Rock, AR 72209-4729
Phone
(501) 565-3855
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 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 Assistant 2355S0801X 202016 AR Primary

Addresses

Primary practice location

6311 Baseline Rd
Little Rock, AR 72209-4729

Mailing address

2700 N Prickett Rd Ste 2B
Bryant, AR 72022-7511
Phone (501) 213-0594

Other practice location 1

1208 W Pleasure Ave
Searcy, AR 72143-5151
Phone (501) 368-0447

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

LicenseStateTypeSpecialty
202016ARMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J5 Therapy, Inc. CurrentSince Aug 11, 2024 Accepting new patients
J5 Therapy, Inc. PastSince Aug 11, 2024 Accepting new patients
Clearly Speaking LLC PastSince Sep 1, 2022 Accepting new patients

Locations

2700 N Prickett Rd
Ste 2B
Bryant, AR 72022
Phone (501) 213-0594

Organizations & group practices 3

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1841911534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N PRICKETT RD STE 2B",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227511",
            "telephone_number": "501-213-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094729",
            "telephone_number": "501-565-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 W Pleasure Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721435151",
            "country_code": "US",
            "telephone_number": "501-368-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOBER",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "202016",
            "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 Aug 5, 2024; 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.