Individual provider Active NPI

Tonya Poteat, MS CCC-SLP

  • Speech-Language Pathologist
  • Jonesboro, AR
National Provider Identifier
1962573790
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 2222 Issued in AZ
Practice address
100 E Matthews Ave Ste B
Jonesboro, AR 72401-3130
Phone
(870) 930-6372
Fax
(870) 930-9336
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2222 AZ Primary

Addresses

Primary practice location

100 E Matthews Ave Ste B
Jonesboro, AR 72401-3130

Mailing address

2015 Harwood Dr
Jonesboro, AR 72404-9100

Other identifiers 1

IdentifierTypeStateIssuer
SP 5W442OtherARBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702004120 AR Practitioner - Qualified Speech Language Pathologist 1951845858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

2101 Rahling Rd
Apt B
Little Rock, AR 72223-7504
Phone (501) 650-8217

925 Country Club Pkwy
Synergy Care at Mira of Maumelle
Maumelle, AR 72113-7825
Phone (501) 387-7244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP 2222AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Apr 7, 2025 Accepting new patients
Synergy Care Southeast, LLC Speech-Language Pathologist CurrentSince Jun 1, 2024 Accepting new patients
RWW Senior Living Outpatient Rehab Services LLC CurrentSince Apr 7, 2025 Accepting new patients

Locations

401 Southridge Pkwy
Heber Springs, AR 72543
Phone (501) 239-4685

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962573790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HARWOOD DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MATTHEWS AVE STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013130",
            "telephone_number": "870-930-6372",
            "fax_number": "870-930-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEAT",
        "first_name": "TONYA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SP 2222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "SP 5W442",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.