NPIMap

Organization Active NPI

Meridian Rehab Partners

  • Speech-Language Pathologist
  • Leola, AR
National Provider Identifier
1982000881
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#1991 Issued in AR
Legal business name
MERIDIAN REHAB PARTNERS
Practice address
2997 Highway 222
Leola, AR 72084-8843
Phone
(501) 626-9675
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Amanda Newton KetchersidNPI 1154576676
Title
Managing Member
Phone
(501) 626-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP#1991 AR Primary

Addresses

Primary practice location

2997 Highway 222
Leola, AR 72084-8843

Mailing address

2997 Highway 222
Leola, AR 72084-8843
Phone (501) 626-9675

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1982000881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 HIGHWAY 222",
            "city": "LEOLA",
            "state": "AR",
            "postal_code": "720848843",
            "telephone_number": "501-626-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 HIGHWAY 222",
            "city": "LEOLA",
            "state": "AR",
            "postal_code": "720848843",
            "telephone_number": "501-626-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN REHAB PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "KETCHERSID",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "501-626-9675",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.