Tia Kaitlyn Teague, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

201525 Issued in AR

Practice address

102 N Oak St
Hackett, AR 72937-4756

Phone

(479) 638-7003

NPI assigned

Aug 26, 2020

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Tia Kaitlyn McCutchen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tia Teague Therapy Services LLC

  • Speech-Language Pathologist
  • Hackett, AR
  • NPI 1699692657
  Authorized official Same address or phone
• Adair Ya, LLC

  dba Hope Therapy Center

  • Speech-Language Pathologist
  • Van Buren, AR
  • NPI 1962885590
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1982217360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HIGHWAY 96 SW",
            "city": "LAVACA",
            "state": "AR",
            "postal_code": "729413921",
            "telephone_number": "479-208-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N OAK ST",
            "city": "HACKETT",
            "state": "AR",
            "postal_code": "729374756",
            "telephone_number": "479-638-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729563423",
            "country_code": "US",
            "telephone_number": "479-268-2949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "TIA",
        "middle_name": "KAITLYN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201180",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "MCCUTCHEN",
            "middle_name": "KAITLYN",
            "prefix": "MS.",
            "credential": "TIA MCCUTCHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katelyn Wilson Henderson
• Kelly K's Speech Therapy Services, LLC
• Kids Unlimited Learning Academy of Ft. Smith
• Stephanie Pyle
• Ray of Sunshine Pediatric Therapy, LLC
• Tia Teague Therapy Services LLC
• Thomas Dean Tinsman, M.D.
• Lora Yother

• Speech-Language Pathologist in Hackett, AR
• Providers in Hackett, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.