Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245479856 Individual Practitioner Female Practitioner

Jennifer Lynn Bradshaw , CCC-SLP

Speech-Language Pathologist • Sheridan, AR

Professional Overview & Biography Verified Profile Summary

Jennifer Bradshaw, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sheridan, AR. Practice services are available at 400 N ROCK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 N Rock St

Sheridan, AR 721502228

Telephone 8705430804
Associated Practice Facility / Clinic
🏢 Sheridan School District Facility NPI 1972654754

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sheridan, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Sheridan, AR (3707 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AR SP#P8153

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
175020721 (AR)
Commercial Insurance / Payer ID Arkansas Board Of Examiners Speech Language Pathology And Audiology
SP#P8153 (AR)

Secondary Practice Locations

1717 Industrial Dr

Fordyce, AR 717427104

Phone: 8703527975

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Chessica Porterfield , PT

Physical Therapist

NPI 1083066856

Physical Therapist

Elizabeth Baxley , SLP

Speech-Language Pathologist

NPI 1336341510

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address December 10, 2024

Registered at 750 HERITAGE DR APT 37, SHERIDAN, AR 721505011 (Tel: 8705430804)

👤
Provider Name / Credentials Updated December 10, 2024

Recorded as JENNIFER BRADSHAW, CCC-SLP

📍
Updated Practice Location March 06, 2024

Registered at 400 N ROCK ST, SHERIDAN, AR 721502228 (Tel: 8705430804)

📍
Updated Business Mailing Address March 06, 2024

Registered at 35 HORTON HILLS DR, SHERIDAN, AR 721507690 (Tel: 8705430804)

👤
Provider Name / Credentials Updated March 06, 2024

Recorded as JENNIFER KING, CCC-SLP

NPI Profile Active February 05, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2009

Registered at 1717 INDUSTRIAL DR, FORDYCE, AR 717427104 (Tel: 8703527975)

📍
Updated Business Mailing Address February 05, 2009

Registered at 1717 INDUSTRIAL DR, FORDYCE, AR 717427104 (Tel: 8703527975)

👤
Provider Name / Credentials Updated February 05, 2009

Recorded as JENNIFER WENTZ, CFY-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2009

Speech-Language Pathologist (License #SP#P8153 in AR)

🟢
Initial NPI Registration & Enumeration February 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245479856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2009
Last Update: December 10, 2024
Sole Proprietor: Yes

Mailing Address

750 Heritage Dr Apt 37

Sheridan, AR 721505011

Phone: 8705430804

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.