MYNA LAQUISHA BURKS (NPI# 1598968802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598968802 |
| Entity Type | Individual |
| Full Name | MYNA LAQUISHA BURKS |
| Credential | M.S. SLP-CCC |
| Practice Address |
1129 Highway 35 S Ste 2 Forest MS 39074-8829 |
| Mailing Address |
2500 North State Street Jackson MS 39216-4500 |
| Practice Telephone | 6014691001 |
| Mailing Telephone | 6019481191 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S3430 | MS | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SP4186 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05722005 | 05 | |
| MS | MS STATE LICENSE | S3430 | 01 |
| CA | STATE LICENSE NUMBER | SP4186 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, Jackson, MS 392164500 | 6019845160 |
| Street Address |
1129 HIGHWAY 35 S STE 2 |
| City | FOREST |
| State | MS |
| Zip Code | 39074-8829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203362 | Allie House | Occupational Therapist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2019-06-12 |
| 1013401017 | Brittany Latay Mcclendon Spivey | Physical Medicine & Rehabilitation | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2018-06-22 |
| 1427562610 | Enduracare Acute Care Services LLC | Clinic/Center | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2017-11-27 |
| 1710332291 | Erin Moore Settlemir | Speech-Language Pathologist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2016-05-03 |
| 1588030761 | Christopher Butler | Physical Therapist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2015-08-11 |
| 1457739849 | Haley Huey Purvis | Speech-Language Pathologist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2015-05-18 |
| 1205129889 | Larita Goforth | Speech-Language Pathologist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2011-05-16 |
| 1346491925 | Sarah J Jones | Speech-Language Pathologist | 1129 Highway 35 S Ste 2, Forest, MS 39074 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1770702144 | Randy K Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| Find all providers in zip 39074 | ||||
| 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 |
|---|---|---|---|---|
| 1710509724 | Carol Elassad | Speech-Language Pathologist | 1292 Culpepper Rd, Forest, MS 39074-9114 | 2020-05-13 |
| 1588063523 | Jennifer Mohan | Speech-Language Pathologist | 1057 Josies Way, Forest, VA 24551-4530 | 2014-08-15 |
| 1922105121 | Piedmont Speech Therapy, Inc | Speech-Language Pathologist | 15421 Forest Rd, Suite D, Forest, VA 24551-2274 | 2006-09-20 |
| 1992814115 | Lisa Block Tharpe | Speech-Language Pathologist | 305 Gristmill Dr, Forest, VA 24551-2627 | 2006-08-30 |
| 1689153629 | Meagan Stanger | Speech-Language Pathologist | 305 Gristmill Dr, Forest, VA 24551-2627 | 2018-08-10 |
| 1710332291 | Erin Moore Settlemir | Speech-Language Pathologist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2016-05-03 |
| 1457739849 | Haley Huey Purvis | Speech-Language Pathologist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2015-05-18 |
| 1154728749 | Kerri Vipperman | Speech-Language Pathologist | 305 Gristmill Dr, Forest, VA 24551-2627 | 2014-11-25 |
| 1700296746 | Jennifer Miller | Speech-Language Pathologist | 305 Gristmill Dr, Forest, VA 24551-2627 | 2014-04-29 |
| 1205129889 | Larita Goforth | Speech-Language Pathologist | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 2011-05-16 |
| Find all providers in FOREST | ||||
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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.