JAMIE GONNERMAN (NPI# 1073039335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073039335 |
| Entity Type | Individual |
| Full Name | JAMIE GONNERMAN |
| Credential | M.S., CCC-SLP |
| Practice Address |
3304 S M St Fort Smith AR 72903-2903 |
| Mailing Address |
507 Lecta Ave Fort Smith AR 72901-3515 |
| Practice Telephone | 4797854677 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 | 9188516395 |
| Street Address |
3304 S M ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437118015 | The Gregory Kistler Treatment Center, Inc. | Voluntary or Charitable | 3304 S M St, Fort Smith, AR 72903-2903 | 2006-03-21 |
| 1306455837 | Hannah Elisabeth Ellis | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-07-30 |
| 1639794662 | Naqing Zheng | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-06-16 |
| 1164044145 | Cassidy Lynn Hughes | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-05-12 |
| 1841823200 | The Gregory Kistler Treatment Center, Inc. | Voluntary or Charitable | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-02-13 |
| 1538727540 | Mallory Faith Walker | Physical Therapy Assistant | 3304 S M St, Fort Smith, AR 72903-2903 | 2019-06-04 |
| 1528548088 | Jessica April Pearce | Physical Therapy Assistant | 3304 S M St, Fort Smith, AR 72903-2903 | 2018-08-15 |
| 1376094003 | Meghann Fletcher | Occupational Therapist | 3304 S M St, Fort Smith, AR 72903-2903 | 2016-10-18 |
| 1568832350 | Denise Bauer | Occupational Therapist | 3304 S M St, Fort Smith, AR 72903-2903 | 2015-10-06 |
| 1306212006 | Amy Solik | Physical Therapy Assistant | 3304 S M St, Fort Smith, AR 72903-2903 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| 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 |
|---|---|---|---|---|
| 1740840586 | Jordan M Kent | Speech-Language Pathologist | 4300 Rogers Ave Ste 20, Fort Smith, AR 72903-3152 | 2019-06-14 |
| 1225511397 | Emily Chloe Bower | Speech-Language Pathologist | 4201 N O St, Fort Smith, AR 72904-6603 | 2018-09-13 |
| 1326564980 | Lyndy Luree Raley | Speech-Language Pathologist | 3300 Harris Ave., Fort Smith, AR 72904 | 2017-08-16 |
| 1912422767 | James Daniel Johnson | Speech-Language Pathologist | 2201 N 50th St, Fort Smith, AR 72904-5719 | 2017-08-12 |
| 1447775168 | Elizabeth Danielle Dawson | Speech-Language Pathologist | 1025 School St, Fort Smith, AR 72908-8034 | 2017-08-03 |
| 1699224501 | Bryana Merrell | Speech-Language Pathologist | 1301 N 8th St, Fort Smith, AR 72901-1332 | 2016-10-04 |
| 1467909341 | Britany Wolfe | Speech-Language Pathologist | 2801 Old Greenwood Rd Ste 14, Fort Smith, AR 72903-4560 | 2016-09-08 |
| 1700332947 | Rebecca Barton | Speech-Language Pathologist | 6601 Euper Lane, Fort Smith, AR 72903-0449 | 2016-08-28 |
| 1144775859 | Rachel Hummingbird | Speech-Language Pathologist | 4111 Park Ave, Fort Smith, AR 72903-1829 | 2016-08-23 |
| 1790131514 | Shelby Rauh | Speech-Language Pathologist | 314 S 17th St, Fort Smith, AR 72901-3836 | 2016-05-11 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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| 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.