Active NPI
Sharla Crofford, SLP
- Speech-Language Pathologist
- Danville, AR
National Provider Identifier
1932320280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SPP7971
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SPP7971 | Other | AR | STATE LICENSE NUMBER |
Other names 1
- Sharla Crofford
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
| License | State | Type | Specialty |
|---|---|---|---|
| SPP7971 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonderworx Pediatric Therapy | Speech-Language Pathologist | Current | 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.
-
- Hearing and Speech Clinic/Center
- Clarksville, AR
- NPI 1578257333
Speech-Language Pathologist
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.