Active NPI
Aimee Kathryne Waldrep, M.S, CCC-SLP
- Speech-Language Pathologist
- Rogers, AR
National Provider Identifier
1902241995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2403 Marylane Dr
Rogers, AR 72756-6702 - Phone
- (479) 936-1381
- NPI assigned
- May 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2403 Marylane Dr
Rogers, AR 72756-6702
Mailing address
682 S Mock St
Prairie Grove, AR 72753-3144
Phone (870) 313-1871
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1902241995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 S MOCK ST",
"city": "PRAIRIE GROVE",
"state": "AR",
"postal_code": "727533144",
"telephone_number": "870-313-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 MARYLANE DR",
"city": "ROGERS",
"state": "AR",
"postal_code": "727566702",
"telephone_number": "479-936-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDREP",
"first_name": "AIMEE",
"middle_name": "KATHRYNE",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.