Danielle Shock

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Wilbur Mills Coop
114 N Main
Beebe, AR 72012

Phone

(501) 882-3852

Fax

(501) 882-1025

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1881234722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SAGEBRUSH LN",
            "city": "ROMANCE",
            "state": "AR",
            "postal_code": "721366922",
            "telephone_number": "501-849-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILBUR MILLS COOP",
            "address_2": "114 N MAIN",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "72012",
            "telephone_number": "501-882-3852",
            "fax_number": "501-882-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCK",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Beebe",
            "affiliation": "Y",
            "affiliationName": "Wilbur Mills Early Childhood",
            "address_1": "Wilbur Mills Coop",
            "address_2": "114 N Main",
            "city": "Beebe",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenny Kay Roberson, CCC-SLP
• Deanna Rogers, NP
• Ann K Rushing
• Yvette D. Schwenk, M.S., LPE-I
• Keri A. Sears, PHARM D
• Victoria Simmons, LAC
• Melanie Kay Sisson, DPT
• Debra Deanne Smith, CCC-SLP
• Forrest C Smith, LPE
• Hayden Smith

• All providers in Beebe, AR
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.