Connie Whitby, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

R#15-026 Issued in AR

Practice address

14105 Skyline Dr
Alexander, AR 72002-1824

Phone

(501) 765-2911

Fax

(501) 897-6195

NPI assigned

Mar 15, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arkansas Quality Therapy Co.

  • Speech-Language Pathologist
  • Alexander, AR
  • NPI 1871990358
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1962863225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 SKYLINE DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021824",
            "telephone_number": "501-765-2911",
            "fax_number": "501-897-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 SKYLINE DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021824",
            "telephone_number": "501-765-2911",
            "fax_number": "501-897-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITBY",
        "first_name": "CONNIE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "R#15-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamietra Taylor
• Natasha Thorne
• Romonda Tousant, APRN
• VP Medical Consulting, LLC
• Brandon Markies West Sr.
• Carrie E. White, COTA
• Kyla Wilson
• Kyle Lee Wilson, CRNA
• Brandon L. Wolfe, LCSW
• Shameka D'Ann Wright

• All providers in Alexander, AR
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.