MRS. JAYNA NICHOLE WILLIS


Address: 1381 Campbell Ln, Bowling Green, KY 42104-1049
Phone: 2708430587

MRS. JAYNA NICHOLE WILLIS (NPI# 1447765136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447765136
Entity Type Individual
Full Name MRS. JAYNA NICHOLE WILLIS
Credential M.S. CCC-SLP
Practice Address 1381 Campbell Ln
Bowling Green
KY 42104-1049
Mailing Address 239 W Mclellan Rd
Bowling Green
KY 42101-8891
Practice Telephone 2708430587
Mailing Telephone 2707847690
Enumeration Date 2017-12-04
Last Update Date 2017-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 142455 KY Speech, Language and Hearing Service Providers

Office Location

Street Address 1381 CAMPBELL LN
City BOWLING GREEN
State KY
Zip Code 42104-1049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235137530 Wellington Parc Health Systems, Inc. Skilled Nursing Facility 1381 Campbell Ln, Bowling Green, KY 42104-1049 2005-07-11
1730667338 Dadrion Richardson Physical Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2018-08-06
1235667783 Grace Marie Porter Occupational Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2017-05-29
1750749743 Alexandra Brown Physical Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2016-02-04
1497143283 Radasha Coleman Occupational Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2014-12-31
1366850620 Pamela Pollard Occupational Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2014-07-30
1932541141 Kimberly Frost Hopper Speech-Language Pathologist 1381 Campbell Ln, Bowling Green, KY 42104-1049 2013-07-29
1003152745 Vanessa Gay Carpenter Occupational Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2012-12-28
1619212727 Debra Lynn Hancock Physical Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2012-11-29
1144331216 Hbr Campbell Lane, LLC Alzheimer Center (Dementia Center) 1381 Campbell Ln, Bowling Green, KY 42104-1049 2006-08-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
Find all providers in zip 42104

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1831718998 Cullen D O'connor Speech-Language Pathologist 125 N Church St # B, Bowling Green, OH 43402-2301 2020-04-09
1245865534 Southern Kentucky Speech Therapy Speech-Language Pathologist 812 Mandarin Ave, Bowling Green, KY 42104-7215 2020-03-06
1750915138 The Reading Company LLC Speech-Language Pathologist 730 Fairview Ave Ste A5, Bowling Green, KY 42101-2383 2020-02-25
1912565441 Tanya Dawn Buttry Speech-Language Pathologist 2712 Garrett Dr, Bowling Green, KY 42104-4332 2019-05-30
1659895019 Haley Elyse Macielewicz Speech-Language Pathologist 18505 Tontogany Creek Rd Ste 4, Bowling Green, OH 43402-9037 2017-07-27
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1114378569 April Hayes Speech-Language Pathologist 1873 Woodhollow Way, Bowling Green, KY 42103-1598 2016-06-28
1215387253 Jessica Evelynne Wilson Speech-Language Pathologist 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 2016-06-21
1710335591 Jenna Brooke Dorman Speech-Language Pathologist 1700 Smallhouse Rd, Apt D, Bowling Green, KY 42104-3284 2016-06-02
Find all providers in BOWLING GREEN

Competitor

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City BOWLING GREEN
Zip Code 42104

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Dataset Information

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.

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