MARIE NICOLE KENWORTHY (NPI# 1528317260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528317260 |
| Entity Type | Individual |
| Full Name | MARIE NICOLE KENWORTHY |
| Credential | CCC-SLP |
| Practice Address |
4050 Lake Otis Pkwy Time for Speech Anchorage AK 99508 |
| Mailing Address |
2114 E 56th Ave #106 Anchorage AK 99507 |
| Practice Telephone | 9075631167 |
| Mailing Telephone | 9897097105 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 402 | AK | Speech, Language and Hearing Service Providers |
| Street Address |
4050 LAKE OTIS PKWY TIME FOR SPEECH |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831145929 | Mahmood Ahmad | Anesthesiology | 4050 Lake Otis Pkwy, Suite 107, Anchorage, AK 99508-5223 | 2006-05-26 |
| 1639545817 | Dyann Vandaff | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 105, Anchorage, AK 99508-5223 | 2015-08-11 |
| 1982096806 | Listen2learn Speech Therapy LLC | Speech-Language Pathologist | 4050 Lake Otis Pkwy, 201, Anchorage, AK 99508-5223 | 2015-03-02 |
| 1427440387 | Colleen Bridget Hill | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223 | 2015-03-02 |
| 1962804518 | Ppgnw - Alaska | Family Medicine | 4050 Lake Otis Pkwy, Suite 205, Anchorage, AK 99508-5223 | 2014-09-25 |
| 1760726806 | Debra Ann Tolliver | Counselor | 4050 Lake Otis Pkwy, Ste. 103, Anchorage, AK 99508-5223 | 2012-11-15 |
| 1194071241 | Annie Dunnack | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223 | 2012-07-26 |
| 1285912758 | Shannon W Lamm | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 105, Anchorage, AK 99508-5223 | 2011-08-01 |
| 1740589902 | Jacqueline Suzanne Hand | Mechanotherapist | 4050 Lake Otis Pkwy, Suite # 207, Anchorage, AK 99508-5223 | 2011-03-26 |
| 1598066359 | Angie Marie Tolbert | Registered Nurse | 4050 Lake Otis Pkwy, 110, Anchorage, AK 99508-5223 | 2010-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
|---|---|---|---|---|
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1760001622 | Kathleen Carol Zelina | Speech-Language Pathologist | 525 Cherry St, Anchorage, AK 99504-2125 | 2020-04-10 |
| 1275152456 | Tidal Bore Resource Center | Speech-Language Pathologist | 14251 Jarvi Dr, Anchorage, AK 99515-3945 | 2020-04-08 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1619487972 | Meredith Mesquita | Speech-Language Pathologist | 201 E 54th Ave, Anchorage, AK 99518-1202 | 2017-10-02 |
| 1396271011 | Ak Direct Speech Therapy LLC | Speech-Language Pathologist | 3401 E 42nd Ave, Suite 201, Anchorage, AK 99508-5458 | 2017-05-02 |
| 1871034090 | Kimberly Stahlnecker | Speech-Language Pathologist | 3401 E 42nd Ave Ste 201, Anchorage, AK 99508-5458 | 2017-03-20 |
| 1285177907 | Bluegrass Speech Pathology Services | Speech-Language Pathologist | 9651 Buddy Werner Dr, Anchorage, AK 99507-5915 | 2016-11-29 |
| 1780032789 | Cierra Nicole Love Holt | Speech-Language Pathologist | 6810 Gold Kings Cir Unit C, Anchorage, AK 99504-1196 | 2016-05-31 |
| 1780030593 | Lindsey Pearson | Speech-Language Pathologist | 12580 Old Seward Hwy, Anchorage, AK 99515-3506 | 2016-05-11 |
| Find all providers in ANCHORAGE | ||||
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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.