Active NPI
Kaylee Mitchell, B.S., SLPA
- Speech-Language Assistant
- Harrison, AR
National Provider Identifier
1841973898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 202373
- Practice address
- 115 E Crandall Ave Ste a
Harrison, AR 72601-3629 - Phone
- (870) 654-3869
- Fax
- (870) 505-2016
- NPI assigned
- Aug 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 2021036471 | MO | |
| Speech-Language Assistant | 2355S0801X | 202373 | AR | Primary |
Addresses
Primary practice location
115 E Crandall Ave Ste a
Harrison, AR 72601-3629
Mailing address
265 Buzz St Unit 16
Branson, MO 65616-6730
Phone (417) 527-0523
Other practice location 1
2864 S Nettleton Ave
Springfield, MO 65807-5970
Phone (417) 605-7100
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202373 | AR | MD | Speech-Language Assistant |
| 2021036471 | MO | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Services of Northwest Arkansas, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Berryville, AR
- NPI 1639440324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1841973898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BUZZ ST UNIT 16",
"city": "BRANSON",
"state": "MO",
"postal_code": "656166730",
"telephone_number": "417-527-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E CRANDALL AVE STE A",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013629",
"telephone_number": "870-654-3869",
"fax_number": "870-505-2016"
}
],
"practiceLocations": [
{
"address_1": "2864 S Nettleton Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658075970",
"country_code": "US",
"telephone_number": "417-605-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "KAYLEE",
"credential": "B.S., SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "MO",
"license": "2021036471",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AR",
"license": "202373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.