EDITH FAVA (NPI# 1477924041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477924041 |
| Entity Type | Individual |
| Full Name | EDITH FAVA |
| Practice Address |
1659 S Highway 65 82 Lake Village AR 71653-1661 |
| Mailing Address |
Po Box 1052 Greenville MS 38702-1052 |
| Practice Telephone | 8702654191 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP#3282 | AR | Speech, Language and Hearing Service Providers |
| Street Address |
1659 S HIGHWAY 65 82 |
| City | LAKE VILLAGE |
| State | AR |
| Zip Code | 71653-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326460254 | Tlc Early Learning and Play Center | Early Intervention Provider Agency | 1659 S Highway 65 82, Lake Village, AR 71653-1661 | 2014-01-12 |
| 1952964140 | Arrowstar Living Assistance Services | Clinic/Center | 1659 S Highway 65 82, Lake Village, AR 71653-1661 | 2019-04-15 |
| 1093123010 | Willie Lloyd | Specialist | 1659 S Highway 65 82, Lake Village, AR 71653-1661 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1861901985 | Chicot Memorial Medical Center | Clinic/Center | 2729 S. Hwy 65 82, Lake Village, AR 71653 | 2017-09-20 |
| 1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
| 1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
| 1689120263 | Russell Medical Services Pllc | Family Medicine | 5071 Highway 82 E, Lake Village, AR 71653 | 2016-09-01 |
| 1528362035 | Hillman Chiropractic LLC | Chiropractor | 2819 Louis Sessions Dr., Lake Village, AR 71653 | 2010-12-28 |
| 1902113913 | Sheri K Bagwell | Counselor | 1127 Second St., Lake Village, AR 71653 | 2010-09-13 |
| 1205154044 | Arkansas Department of Health | Public Health or Welfare | 1742 Hwy 65 and 82 South, Lake Village, AR 71653 | 2010-05-04 |
| 1114259041 | William Jackson Weaver | General Practice | 1754 Lake Hall Road, Lake Village, AR 71653 | 2010-02-03 |
| 1821246992 | Maurenella Antionette Nelson | Social Worker | 1127 Second Street, Lake Village, AR 71653 | 2008-09-03 |
| Find all providers in zip 71653 | ||||
| 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 |
|---|---|---|---|---|
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1558758805 | Pieroni Speech Therapy, LLC | Speech-Language Pathologist | 1806 Lakehall Rd, Lake Village, AR 71653-6105 | 2015-04-23 |
| 1669012522 | Brooke Mosow | Speech-Language Pathologist | 2729 S Highway 65 82, Lake Village, AR 71653-6136 | 2020-01-08 |
| 1942681119 | Virginia Myers | Speech-Language Pathologist | 1806 Lakehall Rd, Lake Village, AR 71653-6105 | 2015-06-14 |
| 1659540813 | Holly Wade | Speech-Language Pathologist | 216 Main St, Lake Village, AR 71653-1916 | 2008-02-21 |
| 1356528962 | Melody A Mcaffery | Speech-Language Pathologist | 216 Main St, 368 Panther Forrest Road, Lake Village, AR 71653-1916 | 2008-01-25 |
| 1568650760 | Gina C Mazzanti | Speech-Language Pathologist | 216 Main St, Lake Village, AR 71653-1916 | 2007-10-12 |
| 1558425777 | Allison Landers | Speech-Language Pathologist | 216 Main St, Lake Village, AR 71653-1916 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768429 | Taylor Weston | Speech-Language Pathologist | 13 Bobwith Ln, Bella Vista, AR 72714-3903 | 2020-10-21 |
| 1508464454 | Caitlin Ketcher | Speech-Language Pathologist | 2 Country Club Cir, Maumelle, AR 72113-6578 | 2020-10-13 |
| 1487252706 | Janice H Mccullough | Speech-Language Pathologist | 2721 Highland Cir, Rogers, AR 72756-3113 | 2020-10-09 |
| 1447857768 | Susan Davis Phillips | Speech-Language Pathologist | 519 Latham Dr Fl 2, Lowell, AR 72745-8360 | 2020-10-08 |
| 1922619626 | Kadee Cash | Speech-Language Pathologist | 6570 Highway 63, Rison, AR 71665-8827 | 2020-08-14 |
| 1801407846 | Allison Walker Griffin | Speech-Language Pathologist | 601 S Martin Luther King Jr Blvd, El Dorado, AR 71730-7173 | 2020-08-13 |
| 1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
| 1740891035 | Kaitlin Tate Hill | Speech-Language Pathologist | 21 Mattie Lene Dr, Ward, AR 72176-8752 | 2020-08-11 |
| 1477163871 | Bailey Kennedy | Speech-Language Pathologist | 1008 E Oak St, Conway, AR 72032-4726 | 2020-07-31 |
| 1114536638 | Dylan Wood | Speech-Language Pathologist | 101 Cherrywood, Magnolia, AR 71753-8447 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
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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.