Individual provider Active NPI

Amy Scarpa

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1902354376
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP# 3732 Issued in AR
Practice address
101 NW Elm Tree Rd
Bentonville, AR 72712-3502
Phone
(479) 254-5650
NPI assigned
Sep 14, 2016
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP# 3732 AR Primary

Addresses

Primary practice location

101 NW Elm Tree Rd
Bentonville, AR 72712-3502

Mailing address

101 NW Elm Tree Rd
Bentonville, AR 72712-3502
Phone (479) 254-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803000103 AR Practitioner - Qualified Speech Language Pathologist 9739540030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP# 3732ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder, Inc. CurrentSince Jun 19, 2023 Accepting new patients

Locations

2616 S Walton Blvd
Bentonville, AR 72712

905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302

1200 W Walnut St
Ste 110
Rogers, AR 72756

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1902354376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW ELM TREE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123502",
            "telephone_number": "479-254-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW ELM TREE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123502",
            "telephone_number": "479-254-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPA",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP# 3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.