CASEY RENAE TISDALE (NPI# 1518289198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518289198 |
| Entity Type | Individual |
| Full Name | CASEY RENAE TISDALE |
| Practice Address |
1616 S. Spring St. Little Rock AR 72206 |
| Mailing Address |
165 Highland Park Conway AR 72034 |
| Practice Telephone | 2059426820 |
| Mailing Telephone | 8504438577 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 12083868ASHA | Speech, Language and Hearing Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | 2753 | AL | Speech, Language and Hearing Service Providers |
| Street Address |
1616 S. SPRING ST. |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1871991158 | Jill Ashley | Case Manager/Care Coordinator | 19825 Jones Rd, Little Rock, AR 72206 | 2014-12-18 |
| 1568718930 | Matthew Reel | Social Worker | 2100 South Gaines St., Little Rock, AR 72206 | 2012-08-03 |
| 1255616363 | Heidi C Tramel | Pharmacist | 1100 E Roosevelt Rd (kroger Pharmacy), Little Rock, AR 72206 | 2011-10-20 |
| 1578713277 | Robert Earl Pruitt Jr. | Social Worker | 2200 Fort Root Dr., North Little Rock, AR 72206 | 2008-09-30 |
| 1063634285 | The Arc Arkansas | Day Training, Developmentally Disabled Services | 2004 S. Main Street, Little Rock, AR 72206 | 2007-05-03 |
| 1942352596 | Tomie Mccall Jr. | Dentist | 721 East 21st Street, Little Rock, AR 72206 | 2007-01-16 |
| 1366530883 | Central Arkansas Veterans Healthcare System | Chronic Disease Hospital | 1321 West Charles Bussey Ave., Little Rock, AR 72206 | 2006-10-10 |
| 1346841723 | Garbo Watson Hearne | Nurse Practitioner | 1001 Wright Ave, Little Rock, AR 72206 | 2020-11-03 |
| Find all providers in zip 72206 | ||||
| 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 |
|---|---|---|---|---|
| 1750922159 | Kelsey Hays | Speech-Language Pathologist | 10800 Mara Lynn Rd, Little Rock, AR 72211-2699 | 2019-10-07 |
| 1831746619 | Kara Quinton | Speech-Language Pathologist | 10310 W Markham St Ste 210, Little Rock, AR 72205-1579 | 2019-08-26 |
| 1639723265 | Henrietta Vernell Dagher | Speech-Language Pathologist | 54 Epernay Cir, Little Rock, AR 72223-5527 | 2019-07-31 |
| 1235793902 | Megan Porter | Speech-Language Pathologist | 16607 Cantrell Rd Ste 6, Little Rock, AR 72223-4827 | 2019-04-27 |
| 1649741877 | Kaitlyn Shae Thompson | Speech-Language Pathologist | 400 Shall St, Little Rock, AR 72202-2730 | 2018-12-16 |
| 1407336944 | Hannah Institute Therapy | Speech-Language Pathologist | 9701 West Markham, Little Rock, AR 72205 | 2018-08-15 |
| 1245721083 | Hannah Educational Resources & Evaluations | Speech-Language Pathologist | 9701 W Markham St, Little Rock, AR 72205-2123 | 2018-05-29 |
| 1174055099 | Busy Bees Pediatric Therapy Services, Inc. | Speech-Language Pathologist | 1517 Loyola Dr, Little Rock, AR 72211-6122 | 2017-03-30 |
| 1154861516 | Natalie Newkirk Welchman | Speech-Language Pathologist | 4301 W Markham St. Slot 621-1, Little Rock, AR 72205-7101 | 2017-03-06 |
| 1528503877 | Meagan Rosel | Speech-Language Pathologist | 1401 Labelle Dr, Little Rock, AR 72204-2315 | 2016-12-22 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72206 |
Please comment or provide details below to improve the information on CASEY RENAE TISDALE.
| 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.