MISS CAROLINE MICHELLE CARMACK (NPI# 1275931180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275931180 |
| Entity Type | Individual |
| Full Name | MISS CAROLINE MICHELLE CARMACK |
| Credential | M.S., CCC-SLP |
| Practice Address |
2120 Krystal Kreek Dr Conway AR 72032-2591 |
| Mailing Address |
4 Grove St Mayflower AR 72106 |
| Practice Telephone | 4795220064 |
| Mailing Telephone | 5014700387 |
| Mailing Fax Number | 5014702107 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2015-05-18 |
| 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 |
2120 KRYSTAL KREEK DR |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1477163871 | Bailey Kennedy | Speech-Language Pathologist | 1008 E Oak St, Conway, AR 72032-4726 | 2020-07-31 |
| 1265041545 | Eliza Adcock | Speech-Language Pathologist | 814 Watkins St, Conway, AR 72034-5152 | 2020-07-23 |
| 1649897695 | Shelly Beth Wier | Speech-Language Pathologist | 2545 Little Caney Dr, Conway, AR 72032-8920 | 2020-06-25 |
| 1427674571 | Communication Connection, Inc. | Speech-Language Pathologist | 5265 Burnt Pine, Conway, AR 72034-3461 | 2020-06-24 |
| 1578102901 | Stephanie Nicole Ellis | Speech-Language Pathologist | 1101 Museum Rd Ste 7, Conway, AR 72032-8580 | 2020-01-02 |
| 1467010462 | Nicole Wilson Slough | Speech-Language Pathologist | 2220 Prince St, Conway, AR 72034-3750 | 2019-06-04 |
| 1194282376 | Lori Ann Hyde | Speech-Language Pathologist | 209 S Shiloh Ave, Conway, MO 65632-8238 | 2019-02-25 |
| 1649748682 | Reach Therapy Services LLC | Speech-Language Pathologist | 720 Bristol Ln, Conway, AR 72034-8502 | 2018-11-07 |
| 1427531748 | Sydney Laine Bailey | Speech-Language Pathologist | 1629 South Blvd, Conway, AR 72034-6452 | 2018-09-12 |
| 1003323940 | Leslie Marie Harris | Speech-Language Pathologist | 2207 Arkansas Ave, Conway, AR 72034-3104 | 2017-12-31 |
| Find all providers in CONWAY | ||||
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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.