Individual provider Active NPI

Susan N Welter, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Plumerville, AR
National Provider Identifier
1992715882
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1091 Issued in AR
Practice address
289 Highway 287
Plumerville, AR 72127-8866
Phone
(501) 354-1680
Fax
(501) 354-5541
NPI assigned
Aug 9, 2006
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP1091 AR Primary

Addresses

Primary practice location

289 Highway 287
Plumerville, AR 72127-8866

Mailing address

289 Highway 287
Plumerville, AR 72127-8866
Phone (501) 354-1680

Other identifiers 2

IdentifierTypeStateIssuer
129162721MedicaidAR
5T231OtherARBCBS INSURANCE PROVIDER

Other names 1

  • Nicky Tiner Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP1091ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
N'Speech Speech-Language Pathologist Past Accepting new patients
N'Speech, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1992715882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 HIGHWAY 287",
            "city": "PLUMERVILLE",
            "state": "AR",
            "postal_code": "721278866",
            "telephone_number": "501-354-1680",
            "fax_number": "501-354-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 HIGHWAY 287",
            "city": "PLUMERVILLE",
            "state": "AR",
            "postal_code": "721278866",
            "telephone_number": "501-354-1680",
            "fax_number": "501-354-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTER",
        "first_name": "SUSAN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129162721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE PROVIDER",
            "identifier": "5T231",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICKY",
            "last_name": "TINER",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plumerville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.