MS. KATHLEEN E. PHILLIPS (NPI# 1558536219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558536219 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN E. PHILLIPS |
| Credential | M.S., CCC-A |
| Practice Address |
2425 Dave Ward Dr Suite 101 Conway AR 72034-8686 |
| Practice Telephone | 5019327600 |
| Practice Fax Number | 5019327603 |
| Mailing Telephone | 5019327600 |
| Mailing Fax Number | 5019327603 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A#241 | AR | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861927527 | Kathleen Phillips | Ophthalmology | 424 Ne 7th Ave, Ft Lauderdale, FL 33301-1208 | 2017-05-01 |
| 1780087916 | Kathleen Phillips | Speech-Language Pathologist | 711 Fess Street, Zanesville, OH 43701 | 2014-10-02 |
| 1205252921 | Kathleen Phillips | Massage Therapist | 5850 County Rd., Tipp City, OH 45371 | 2014-03-06 |
| 1467733667 | Kathleen Elaine Phillips | Speech-Language Pathologist | 1218 Sw 14th Ct, Gresham, OR 97080-9620 | 2011-08-31 |
| 1174704431 | Kathleen Phillips | Speech-Language Pathologist | 3126 E Valley Water Mill Rd, Apt 4804, Springfield, MO 65803-4908 | 2007-11-15 |
| 1114494184 | Kathleen Phillips | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2018-10-29 |
| 1124510342 | Kathleen Phillips | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2018-06-04 |
| 1639681901 | Kathleen Elizabeth Phillips | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2017-10-26 |
| 1871033662 | Kathleen Phillips | Marriage & Family Therapist | 5 Lane Ln, Sheridan, WY 82801-8630 | 2017-02-28 |
| 1689095846 | Kathleen Phillips | Specialist | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2013-12-13 |
| Street Address |
2425 DAVE WARD DR SUITE 101 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884622 | Jeffrey P Kirsch | Specialist | 2425 Dave Ward Dr, Ste 101, Conway, AR 72034-8686 | 2005-10-06 |
| 1467089599 | Conway Ambulatory Surgery Center, LLC | Clinic/Center | 2425 Dave Ward Dr, Conway, AR 72034-8686 | 2020-03-26 |
| 1114461118 | Leah Marie Lamb | Pharmacist | 2425 Dave Ward Dr, Suite 602, Conway, AR 72034-8686 | 2016-12-09 |
| 1962862557 | Rachel Choate | Nurse Practitioner | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 | 2016-02-25 |
| 1992180269 | Natalie Claire Brownd | Nurse Practitioner | 2425 Dave Ward Dr, Suite #401, Conway, AR 72034-8686 | 2015-07-28 |
| 1871990937 | The Pain Medicine Consultants Group | Durable Medical Equipment & Medical Supplies | 2425 Dave Ward Dr, Gordy Building Ste 102, Conway, AR 72034-8686 | 2014-12-04 |
| 1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
| 1851697197 | Jaclyn J Cooper | Nurse Practitioner | 2425 Dave Ward Dr, Suite 601, Conway, AR 72034-8686 | 2011-02-03 |
| 1902043227 | Saint-mark Enterprises 1890 LLC | Pharmacy | 2425 Dave Ward Dr, Suite 602, Conway, AR 72034-8686 | 2009-01-08 |
| 1740481274 | Trudy Davis Forbush | Physical Therapist | 2425 Dave Ward Dr, Conway, AR 72034-8686 | 2007-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306904347 | Arkansas Audiology, Inc | Audiologist | 2850 Prince St, Suite 35, Conway, AR 72034-3636 | 2006-12-04 |
| 1255822524 | Arkansas Hearing and Audiology | Audiologist | 2515 College Ave, Conway, AR 72034-6135 | 2018-05-22 |
| 1124543756 | Marissa Lynn Levy | Audiologist | 808 Farrar Dr, Conway, SC 29526-8747 | 2017-08-04 |
| 1386178523 | Alexandria Paige Potratz Lee | Audiologist | 808 Farrar Dr, Conway, SC 29526-8747 | 2017-04-14 |
| 1386026714 | Hometown Hearing & Audiology, Inc. | Audiologist | 2835 College Ave, Conway, AR 72034-6144 | 2015-06-22 |
| 1225296486 | Sharon Sue Maune | Audiologist | 611 Court St, Suite 1, Conway, AR 72032-5446 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408364 | Kristyn Wethington | Audiologist | 4501 Central Ave Ste 174c6, Hot Springs, AR 71913-7440 | 2020-08-17 |
| 1588291074 | Mckenna Wright | Audiologist | 11600 Kanis Rd Ste 700, Little Rock, AR 72211-3780 | 2020-03-24 |
| 1831753607 | Hsin-wei Huang | Audiologist | 6801 Rogers Ave Ste 4th, Fort Smith, AR 72903-4067 | 2019-04-26 |
| 1407324635 | Christy Leah Mitchell | Audiologist | 205 Ironwood St, Hot Springs National Park, AR 71913-6802 | 2018-11-06 |
| 1548742240 | Henry Hearing Clinic, LLC | Audiologist | 23251 Interstate 30 S, Bryant, AR 72022-2571 | 2018-08-30 |
| 1114408226 | Tashia S Gadlin | Audiologist | 1179 N College Ave, Fayetteville, AR 72703-1955 | 2018-08-27 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1013414366 | Lindsey Danielle Sloan | Audiologist | 2080 W Main St Ste 2, Cabot, AR 72023-7669 | 2018-04-11 |
| 1790298248 | Little Rock Audiology Clinic, Inc. | Audiologist | 500 S University Ave Ste 405, Little Rock, AR 72205-5306 | 2017-11-07 |
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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.