CARA STALEY BULLOCK (NPI# 1336545094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336545094 |
| Entity Type | Individual |
| Full Name | CARA STALEY BULLOCK |
| Credential | SLP |
| Practice Address |
600 Jackson St Fredericksburg VA 22401-5719 |
| Mailing Address |
11801 Berwick Ct Fredericksburg VA 22408-1871 |
| Practice Telephone | 5403733223 |
| Practice Fax Number | 5403713753 |
| Mailing Telephone | 5407106865 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202004983 | VA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11801 Berwick Ct, Fredericksburg, VA 224081871 | 5407106865 |
| Street Address |
600 JACKSON ST |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952360109 | Frank D. Deforest | Psychologist | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2006-03-17 |
| 1255938429 | Kari L Gent | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-10-01 |
| 1760093876 | Sol L Redd-martin | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-08-12 |
| 1497365241 | Anna L Loftis | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-08-06 |
| 1558996488 | Francesca N Coello Palmisano | Occupational Therapist | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-03-11 |
| 1346871829 | Peggy L Mull-johnson | Counselor | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-02-03 |
| 1548808504 | Heather Renee Honaker | Counselor | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-12-20 |
| 1811532211 | Fernanda Regina Webster | Counselor | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-11-10 |
| 1366085334 | Caitlin M Riggins | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-10-23 |
| 1811547425 | Sarah Lynn Young | Occupational Therapy Assistant | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| 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 |
|---|---|---|---|---|
| 1215566997 | Faina Kostyukovsky | Speech-Language Pathologist | 9616 Sandy Pointe Cir Apt 303, Fredericksburg, VA 22408-6701 | 2020-04-05 |
| 1225672470 | Tori White | Speech-Language Pathologist | 210 Ferdinand St, Fredericksburg, VA 22401-6115 | 2019-10-31 |
| 1861999146 | Bianca Johnson | Speech-Language Pathologist | 610 Gayle St, Fredericksburg, VA 22405-1324 | 2018-04-12 |
| 1346747094 | Vanessa Collins | Speech-Language Pathologist | 503 Deacon Rd, Fredericksburg, VA 22405-1828 | 2018-04-10 |
| 1306342357 | Lynn G Schulin | Speech-Language Pathologist | 105 Primmer House Rd, Fredericksburg, VA 22405-2165 | 2018-03-30 |
| 1851895932 | Heather Leigh Oljey | Speech-Language Pathologist | 14 Shackelford Well Rd, Fredericksburg, VA 22406-4939 | 2018-03-22 |
| 1457850695 | Jessica Johnson | Speech-Language Pathologist | 7315 Smith Station Rd, Fredericksburg, VA 22407-1739 | 2018-02-02 |
| 1841705837 | Miriam H Cole | Speech-Language Pathologist | 23 Twin Lake Ct, Fredericksburg, VA 22405-2892 | 2017-12-12 |
| 1417460239 | Rachel L Spenia | Speech-Language Pathologist | 3600 Lee Hill School Dr, Fredericksburg, VA 22408-9438 | 2017-11-15 |
| 1043738826 | Brenda Lynn Scheel | Speech-Language Pathologist | 14 Pennsbury Ct, Fredericksburg, VA 22406-7230 | 2017-08-31 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on CARA STALEY BULLOCK.
| 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.