Kailey Marie Fender

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1268 Electric Ave
Springdale, AR 72764-7498

Phone

(479) 750-1500

Fax

(479) 777-2800

NPI assigned

Jun 12, 2023

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

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bliss Speech and Hearing Services, IncGroup PAC ID 3971949520, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bliss Speech and Hearing Services, Inc.

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1376737023
  Medicare reassignment Care Compare group NPD
• Miracle Kids Success Academy Central

  • Developmental Disabilities Clinic/Center
  • Jonesboro, AR
  • NPI 1326844267
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1902580905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048404",
            "telephone_number": "870-336-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 ELECTRIC AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647498",
            "telephone_number": "479-750-1500",
            "fax_number": "479-777-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDER",
        "first_name": "KAILEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Gregory Favorite, D.C.
• Scott David Fedosky, MD
• Feet Plus of Arkansas, Inc
• James Robert Feher, MSN, APRN, FNP-C
• Kacie Larae Felton
• Erica Michelle Ferguson
• Jessica Angelica Ferguson, MHPP
• Rebecca Ferguson
• Rebecca Autumn Ferguson, MS, LPC
• John Peter Ferris Jr., D.O.

• Speech-Language Pathologist in Springdale, AR
• Providers in Springdale, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.