Anita B Humphreys, MSP,CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

410 Goldsmith Ave
Mammoth Spring, AR 72554-8045

Phone

(870) 625-3096

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1861644247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GOLDSMITH AVE",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725548045",
            "telephone_number": "870-625-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GOLDSMITH AVE",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725548045",
            "telephone_number": "870-625-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "ANITA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSP,CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ann Featherston, LPC
• Gregory Ross Fuller, RPH
• Allie Rose Gardner
• Douglas Brent Garrison, DC
• Marcia Beth Haizlip, LPC
• Sarah Juhl Halsrud
• Michael Dean Kersey, DDS
• Jeffrey Dean Lawson, MSW, LCSW
• Jill Lawson, QBHP
• Mammoth Spring Dental Clinic, LLC

• All providers in Mammoth Spring, AR
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.