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MRS. STACY ANN KINDERVATER M.S., CCC-SLP
NPI 1164683504
Speech-Language Pathologist in Little Rock, AR

Active since June 18, 2008
1200 RESERVOIR RD, LITTLE ROCK, AR 72227(501) 447-5529 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Stacy Ann Kindervater M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACY ANN KINDERVATER M.S., CCC-SLP (NPI 1164683504) is an individual speech-language pathologist provider in Little Rock, Arkansas, licensed in Arkansas (SP1123) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1164683504
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACY ANN KINDERVATERCredential: M.S., CCC-SLP
Location Address1200 RESERVOIR RDLittle Rock, AR 72227-5712
Mailing Address810 W Markham StLittle Rock, AR 72201-1306 · (501) 447-1000 · Fax (501) 447-4801
Phone(501) 447-5529
Sole ProprietorYes
Enumeration DateJune 18, 2008
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1164683504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AR · SP1123
Definition
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.
1200 RESERVOIR RD, Little Rock, AR 72227
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Other Names 1

Former Name (1)Mrs. Stacy Ann Burrall

Other Identifiers 1

Medicaid116837743AR

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY MICHELLE MILLER
Registered Nurse
1200 RESERVOIR RD
LITTLE ROCK, AR 72227
Pulaski County (501) 447-5505
HEIDI NICOLE WARNER
Student in an Organized Health Care Education/Training Program
1200 RESERVOIR RD
LITTLE ROCK, AR 72227
Pulaski County (501) 733-9337
MRS. TRISTEN ELAINE PRICE M.S. CF-SLP
Speech-Language Pathologist
1200 RESERVOIR RD
LITTLE ROCK, AR 72227
Pulaski County (501) 447-5500
AIMEE LITTRELL
Speech-Language Pathologist
1200 RESERVOIR RD
LITTLE ROCK, AR 72227
Pulaski County (501) 447-5529
REBEKAH GRACE OLIVER
Speech-Language Pathologist
1200 RESERVOIR RD
LITTLE ROCK, AR 72227
Pulaski County (501) 447-5500
MRS. LYNETTE CHAMBERS MURPHY PT
Physical Therapist (Pediatrics)
1200 RESERVOIR RD
LITTLE ROCK, AR 72227
Pulaski County (501) 447-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Kindervater's NPI number?

The NPI number for Stacy Kindervater is 1164683504. It was assigned to this individual provider in the NPPES registry on June 18, 2008. The provider is also known as Mrs. Stacy Ann Burrall.

Where is Stacy Kindervater located?

Stacy Kindervater practices at 1200 Reservoir Rd, Little Rock, AR 72227. The listed phone number is (501) 447-5529.

What is Stacy Kindervater's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Stacy Kindervater was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.