Organization Active NPI

Bassett Speech Pathology LLC

  • Speech-Language Pathologist
  • Rogers, AR
National Provider Identifier
1982050308
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BASSETT SPEECH PATHOLOGY LLC
Practice address
5305 W Village Pkwy Ste 9
Rogers, AR 72758-8116
Phone
(479) 401-2077
NPI assigned
May 5, 2016
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Shannon R BassettNPI 1083774756
Title
M.S. CCC-SLP
Phone
(479) 790-9580

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

5305 W Village Pkwy Ste 9
Rogers, AR 72758-8116

Mailing address

3515 Sweetgum LN
Springdale, AR 72764-6614
Phone (479) 790-9580

National Provider Directory

National Provider Directory

Locations

5305 W Village Pkwy
Ste 9
Rogers, AR 72758
Phone (479) 401-2077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1982050308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SWEETGUM LN",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646614",
            "telephone_number": "479-790-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 W VILLAGE PKWY STE 9",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588116",
            "telephone_number": "479-401-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSETT SPEECH PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M.S. CCC-SLP",
        "authorized_official_telephone_number": "479-790-9580"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.