Dermott High School

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LEA0901 Issued in AR

Legal business name

DERMOTT HIGH SCHOOL

Practice address

525 East Speedway
Dermott, AR 71638

Phone

(870) 538-1000

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Jeanie Donaldson

Title

Mits Supervisor

Phone

(870) 367-6848

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dermott School District Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1861555005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 SCOGIN DRIVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-6848",
            "fax_number": "870-367-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST SPEEDWAY",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "71638",
            "telephone_number": "870-538-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMOTT HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "MITS SUPERVISOR",
        "authorized_official_telephone_number": "870-367-6848"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "LEA0901",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AR",
            "license": "0901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116599743",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116399743",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermott School District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delta Drug of Dermott, Inc
• Delta Drug of Dermott, Inc
• Dermott City Nursing Home
• Dermott Day Service Center, Inc.
• Dermott Family Practice, Inc.
• Terri Ann Eubanks, DDS
• Brenda Fowler, ANP
• Case Henderson, PHARMD
• Shenika Jackson-King, APRN
• Courtney Shay Johnson, CNP

• Speech-Language Pathologist in Dermott, AR
• Providers in Dermott, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.