MRS. MARCILYN RENEE KENNEDY (NPI# 1417025263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417025263 |
| Entity Type | Individual |
| Full Name | MRS. MARCILYN RENEE KENNEDY |
| Credential | M.S., CCC-SLP |
| Practice Address |
9210 Trail Run Rd Sherwood AR 72120-9422 |
| Practice Telephone | 5018344100 |
| Mailing Telephone | 5018344100 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2237 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5Y158 | 01 |
| Street Address |
9210 TRAIL RUN RD |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404917 | Just for Kids Therapy Services | Specialist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-02-06 |
| 1144457458 | Marla Denise Gardner | Occupational Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2009-06-12 |
| 1871640433 | Rachael Anne Adams | Physical Therapy Assistant | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2007-01-05 |
| 1922162718 | Rebekah Greene Lowery | Physical Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-12-19 |
| 1346303005 | Erin Sandefur | Speech-Language Pathologist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-12-17 |
| 1750440517 | Krystal Renee Eubanks | Occupational Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-12-07 |
| 1457421042 | Just for Kids Therapy Services | Physical Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-11-09 |
| 1740363431 | Amy Powers | Physical Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| 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 |
|---|---|---|---|---|
| 1023597069 | Lindsay Woolf | Speech-Language Pathologist | 8260 Nora Ln, Sherwood, AR 72120-9693 | 2018-08-10 |
| 1366940074 | Ashley Jones | Speech-Language Pathologist | 8416 Garnet Cv, Sherwood, AR 72120-2387 | 2018-01-28 |
| 1962952598 | Andrew Swayne | Speech-Language Pathologist | 11200 Mine Rd, Sherwood, AR 72120-2057 | 2016-10-06 |
| 1306254693 | Bethany Snow Woolverton | Speech-Language Pathologist | 109 Cedarwood Dr, Sherwood, AR 72120-3408 | 2014-07-30 |
| 1619392677 | Creekside Speech Therapy | Speech-Language Pathologist | 27196 Sw Baker Rd, Sherwood, OR 97140-8408 | 2014-02-27 |
| 1639593973 | Kelley Phillips | Speech-Language Pathologist | 14060 Blosser Rd, Sherwood, OH 43556-9500 | 2014-02-06 |
| 1841620549 | Rikkie Lee Schley | Speech-Language Pathologist | 16116 Sw Holland Ln, Sherwood, OR 97140-9436 | 2013-11-15 |
| 1043651532 | Arkansas Special Services | Speech-Language Pathologist | 5710 Warden Rd Ste 5, Sherwood, AR 72120-6064 | 2013-07-11 |
| 1609001221 | Kristyn Fortner | Speech-Language Pathologist | 297 W. Kiehl Ave., Sherwood, AR 72120 | 2009-05-27 |
| 1588819031 | Jessica Duffett | Speech-Language Pathologist | 22810 Sw Forest Creek Dr Unit 100, Sherwood, OR 97140-9694 | 2008-11-25 |
| Find all providers in SHERWOOD | ||||
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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.