Active NPI
Vanessa Adams
- Speech-Language Assistant
- Jonesboro, AR
National Provider Identifier
1962654707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- R09-003
- Practice address
- 3402 Willow Rd
Jonesboro, AR 72404-9314 - Phone
- (870) 268-8333
- NPI assigned
- Oct 10, 2008
- Last updated
- Oct 10, 2008
- 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 Assistant | 2355S0801X | R09-003 | AR | Primary |
Addresses
Primary practice location
3402 Willow Rd
Jonesboro, AR 72404-9314
Mailing address
PO Box 2286
State University, AR 72467-2286
Phone (870) 268-8333
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 |
|---|---|---|---|
| R09-003 | AR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1962654707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2286",
"city": "STATE UNIVERSITY",
"state": "AR",
"postal_code": "724672286",
"telephone_number": "870-268-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 WILLOW RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724049314",
"telephone_number": "870-268-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AR",
"license": "R09-003",
"primary": true
}
],
"identifiers": [],
"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 Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.