Individual provider Active NPI

Deborah Goode, MSE,CCC-SLP

  • Speech-Language Pathologist
  • Roland, AR
National Provider Identifier
1861637563
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP260 Issued in AR
Practice address
20900 Roland Heights Rd
Roland, AR 72135-9685
Phone
(501) 868-4740
Fax
(501) 868-6498
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
Yes

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.

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
SP260ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therateam Rehab Services Speech-Language Pathologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP260 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

20900 Roland Heights Rd
Roland, AR 72135-9685

Mailing address

430 Par Fore Dr
Conway, AR 72034-7270
Phone (501) 868-4740

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2008.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1861637563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PAR FORE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347270",
            "telephone_number": "501-868-4740",
            "fax_number": "501-868-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 ROLAND HEIGHTS RD",
            "city": "ROLAND",
            "state": "AR",
            "postal_code": "721359685",
            "telephone_number": "501-868-4740",
            "fax_number": "501-868-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "MSE,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roland, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.