Individual provider Active NPI

Sharla Crofford, SLP

  • Speech-Language Pathologist
  • Danville, AR
National Provider Identifier
1932320280
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SPP7971 Issued in AR
Practice address
714 N Detroit St
Danville, AR 72833
Phone
(479) 495-6326
Fax
(479) 495-3336
NPI assigned
May 2, 2007
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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 SPP7971 AR Primary

Addresses

Primary practice location

714 N Detroit St
Danville, AR 72833

Mailing address

7096 Hwy 124
Springfield, AR 72157
Phone (479) 495-6326

Other identifiers 1

IdentifierTypeStateIssuer
SPP7971OtherARSTATE LICENSE NUMBER

Other names 1

  • Sharla Crofford Professional name

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

State licenses

LicenseStateTypeSpecialty
SPP7971ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderworx Pediatric Therapy Speech-Language Pathologist CurrentSince Jun 11, 2023 Accepting new patients

Locations

504 S Crawford St
#A
Clarksville, AR 72830
Phone (479) 345-8650

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1932320280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7096 HWY 124",
            "city": "SPRINGFIELD",
            "state": "AR",
            "postal_code": "72157",
            "telephone_number": "479-495-6326",
            "fax_number": "479-495-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N DETROIT ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "72833",
            "telephone_number": "479-495-6326",
            "fax_number": "479-495-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFFORD",
        "first_name": "SHARLA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SPP7971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "SPP7971",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARLA",
            "last_name": "CROFFORD",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Danville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.