Vanessa Kuykendall, SLP, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1639 Issued in AR

Practice address

370 East Redcut Rd.
Fouke, AR 71837-0020

Phone

(870) 653-7887

Fax

(870) 653-7885

NPI assigned

Mar 9, 2007

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1992837785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 EAST REDCUT ROAD",
            "city": "FOUKE",
            "state": "AR",
            "postal_code": "718370020",
            "telephone_number": "870-653-7887",
            "fax_number": "870-653-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 EAST REDCUT RD.",
            "city": "FOUKE",
            "state": "AR",
            "postal_code": "718370020",
            "telephone_number": "870-653-7887",
            "fax_number": "870-653-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "VANESSA",
        "credential": "SLP, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162691721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Bellew, LMSW
• Shannon Marie Burkland
• Anna Claire Cree, M.S.
• Donald S. Douglas, M.D., (Fouke Family Clinic)
• Fouke School District
• Kaitlin Malone
• Kahla McMahen
• Suzanne Thomasson Pipkin, LPC,LPE,LPA
• Sharon Printy, MSCCC-SLP
• University of Arkansas for Medical Sciences

• Speech-Language Pathologist in Fouke, AR
• Providers in Fouke, 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 Oct 15, 2012; 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.