JESSICA GOBEN (NPI# 1205304938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205304938 |
| Entity Type | Individual |
| Full Name | JESSICA GOBEN |
| Credential | SLP |
| Practice Address |
272 School Ave West Fork AR 72774-3124 |
| Mailing Address |
Po Box 2109 Russellville AR 72811-2109 |
| Practice Telephone | 4799672322 |
| Mailing Telephone | 4799672322 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| 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 |
| Street Address |
272 SCHOOL AVE |
| City | WEST FORK |
| State | AR |
| Zip Code | 72774-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700377520 | Access Medical Clinic Arkansas LLC | Family Medicine | 451 Phillips St, West Fork, AR 72774 | 2018-05-29 |
| 1063750495 | Harps Food Stores, Inc | Pharmacy | 266 Three Dog Lane, West Fork, AR 72774 | 2013-01-18 |
| 1548405004 | Growing God's Kingdom, Inc. | Early Intervention Provider Agency | 599 N. Centennial, West Fork, AR 72774 | 2008-12-11 |
| 1609488014 | Lauren Lichty | Physical Therapist | 363 Mcknight Ave, West Fork, AZ 72774 | 2020-08-18 |
| 1750992848 | Courtney Green | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-12 |
| 1790396257 | Rachel Holland | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-10 |
| 1144708041 | Kayla J Stinnett | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2018-08-02 |
| 1699261370 | Mary Curran | Occupational Therapy Assistant | 363 Mcknight Ave, West Fork, AR 72774 | 2018-07-06 |
| 1730597733 | Kelsey Alyssa Boutilier | Speech-Language Pathologist | 363 Mcknight Ave., West Fork, AR 72774 | 2014-07-23 |
| 1386798999 | Superintendent of Elkins School District 10 | Local Education Agency (LEA) | 363 Mcknight, West Fork, AR 72774 | 2007-01-22 |
| Find all providers in zip 72774 | ||||
| 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 |
|---|---|---|---|---|
| 1922554336 | Alexandra Fry Bair | Speech-Language Pathologist | 363 Mcknight Avenue, West Fork, AR 72774-0419 | 2016-08-27 |
| 1164682209 | Shannon Medina | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774-0000 | 2008-06-12 |
| 1871712265 | Christina Williams | Speech-Language Pathologist | 599 N Centennial Ave, West Fork, AR 72774-2711 | 2007-04-24 |
| 1750992848 | Courtney Green | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-12 |
| 1790396257 | Rachel Holland | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-10 |
| 1639721426 | Alex Clark | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774-7277 | 2019-07-11 |
| 1144708041 | Kayla J Stinnett | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2018-08-02 |
| 1730597733 | Kelsey Alyssa Boutilier | Speech-Language Pathologist | 363 Mcknight Ave., West Fork, AR 72774 | 2014-07-23 |
| 1922352889 | Meredith Purifoy | Speech-Language Pathologist | 599 N Centennial Ave, West Fork, AR 72774-2711 | 2012-10-30 |
| 1972891034 | Alisa Beachy | Speech-Language Pathologist | 363 Mcknight Ave., West Fork, AR 72774-0000 | 2011-07-11 |
| Find all providers in WEST FORK | ||||
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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.