LAURA SISTRUNK (NPI# 1063705523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063705523 |
| Entity Type | Individual |
| Full Name | LAURA SISTRUNK |
| Practice Address |
1001 Holland Ave Philadelphia MS 39350-2161 |
| Mailing Address |
4109 Highway 98 W Summit MS 39666-9132 |
| Practice Telephone | 6016631296 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3426 | MS | Speech, Language and Hearing Service Providers |
| Street Address |
1001 HOLLAND AVE |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514178 | Pamela Z Mccool | Nurse Anesthetist, Certified Registered | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2006-06-08 |
| 1639705791 | Jessica Stokes | Nurse Practitioner | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2020-03-19 |
| 1699310854 | Sidney Stuart Hill | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-11-12 |
| 1710538061 | Tanya Wilson Tullos | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-09-26 |
| 1396394599 | Ashley Kaye Barber | Nurse Practitioner | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-09-10 |
| 1871152215 | Rebecca Prince | Speech-Language Pathologist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-06-10 |
| 1063973071 | Julie Holley Coleman | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-03-31 |
| 1528559184 | Anna Fulton Spence | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-05-19 |
| 1912405358 | Cyndi Weldy | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-01-31 |
| 1053828764 | Julie Thomas | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696931 | Abigail Stern | Speech-Language Pathologist | 4827 Umbria St, Philadelphia, PA 19127-1916 | 2020-10-12 |
| 1750988754 | Jennifer M Lisberger | Speech-Language Pathologist | 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 | 2020-10-04 |
| 1487261699 | Brooke Ashley Beechan | Speech-Language Pathologist | 1712 Green St Apt 4, Philadelphia, PA 19130-4132 | 2020-09-30 |
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1164039616 | Alexandra Gallagher Slp | Speech-Language Pathologist | 1326 N Mascher St Unit E, Philadelphia, PA 19122-4630 | 2020-09-29 |
| 1245846872 | Brittany Mae Smolar | Speech-Language Pathologist | 1539 S Garnet St, Philadelphia, PA 19146-4627 | 2020-09-18 |
| 1063026904 | Katherine Mary Moran | Speech-Language Pathologist | 3327 Krail St, Philadelphia, PA 19129-1526 | 2020-09-08 |
| 1235749383 | Morgan Stanislaus | Speech-Language Pathologist | 633 W Rittenhouse St Apt B614, Philadelphia, PA 19144-4320 | 2020-08-04 |
| 1477163723 | Kimberly Lawlor | Speech-Language Pathologist | 657 N 22nd St, Philadelphia, PA 19130-3141 | 2020-08-02 |
| 1174141931 | Alyssa Delp | Speech-Language Pathologist | 1840 Torresdale Ave, Philadelphia, PA 19124-4418 | 2020-07-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
Please comment or provide details below to improve the information on LAURA SISTRUNK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.