Kasey Brooke Wilson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

500 Cloverdale Rd
Jacksonville, AR 72076-5614

Phone

(501) 982-3117

Fax

(501) 241-2004

NPI assigned

Jan 8, 2015

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1861880106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CLOVERDALE RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720765614",
            "telephone_number": "501-982-3117",
            "fax_number": "501-241-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CLOVERDALE RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720765614",
            "telephone_number": "501-982-3117",
            "fax_number": "501-241-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KASEY",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Carl Williams, LAC
• Tiana Nicole Williams, LAC
• Emily Willis
• Haley Wilson, O.D.
• Jennifer M Wilson, M.S., CCC-SLP
• Cathie A. Winkler
• Daniel Ray Winn, MHPP
• Jennifer L Wolff
• Aaron M. Woodall, PA-C
• Felicia Woodruff

• Speech-Language Assistant in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.