MS. VICKIE SHEPPARD (NPI# 1619021706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619021706 |
| Entity Type | Individual |
| Full Name | MS. VICKIE SHEPPARD |
| Credential | SLP |
| Practice Address |
101 Brougham Ave Marion AR 72364-2505 |
| Mailing Address |
707 Eldridge Ave E Wynne AR 72396-4032 |
| Practice Telephone | 8707399982 |
| Mailing Telephone | 8702088989 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP 1566 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ASHA ACCOUNT | 12020540 | 01 |
| AR | BLUE CROSS & BLUE SHIELD | 5X234 | 01 |
| Street Address |
101 BROUGHAM AVE |
| City | MARION |
| State | AR |
| Zip Code | 72364-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386652428 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 101 Brougham Ave, Marion, AR 72364-2505 | 2006-08-04 |
| 1245736214 | Willowbend At Marion LLC | Skilled Nursing Facility | 101 Brougham Ave, Marion, AR 72364-2505 | 2018-03-30 |
| 1396899647 | Celena Rorex | Physical Therapy Assistant | 101 Brougham Ave, Marion, AR 72364-2505 | 2007-01-23 |
| 1598819823 | Paul Kilvington | Physical Therapist | 101 Brougham Ave, Marion, AR 72364-2505 | 2007-01-23 |
| 1750435012 | Bryan Raymond | Occupational Therapy Assistant | 101 Brougham Ave, Marion, AR 72364-2505 | 2007-01-23 |
| 1235283474 | Jennifer Bay | Physical Therapy Assistant | 101 Brougham Ave, Marion, AR 72364-2505 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| 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 |
|---|---|---|---|---|
| 1114574852 | Danielle Mcgill Telfer | Speech-Language Pathologist | 2387 Harding Hwy E, Marion, OH 43302-8529 | 2019-08-19 |
| 1346733672 | Ashli Potter | Speech-Language Pathologist | 906 Skyline Dr Ste 200, Marion, IL 62959-4876 | 2018-06-12 |
| 1083112833 | Caroline A Woodard | Speech-Language Pathologist | 121 Bagley Cir Ste 300, Marion, VA 24354-3140 | 2018-01-26 |
| 1306351655 | Kristin Elise White | Speech-Language Pathologist | 400 Morningside Dr, Marion, IL 62959-5323 | 2017-12-08 |
| 1558874453 | Jason Andrew Mings | Speech-Language Pathologist | 2233 Grange Hall Rd, Marion, IL 62959-8997 | 2017-11-14 |
| 1588177547 | Tracy Deann Westbrook | Speech-Language Pathologist | 700 E Boulevard St, Marion, IL 62959-3306 | 2017-11-13 |
| 1629587548 | Sharon Ann Owens | Speech-Language Pathologist | 625 Brightwood Dr, Marion, OH 43302-5207 | 2017-09-22 |
| 1083123178 | Bethany Schaner | Speech-Language Pathologist | 1000 Robinson St, Marion, OH 43302-1956 | 2017-09-21 |
| 1659891638 | Suzanne Marie Smith | Speech-Language Pathologist | 1239 Keener Rd S, Marion, OH 43302-1110 | 2017-06-21 |
| 1295262186 | Lydia Paige Moulton | Speech-Language Pathologist | 4318 Cypress Grove Pl, Marion, IL 62959-6651 | 2017-05-22 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on MS. VICKIE SHEPPARD.
| 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.