ALICIA PETTETT (NPI# 1629452933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629452933 |
| Entity Type | Individual |
| Full Name | ALICIA PETTETT |
| Practice Address |
600 S Mcpherren Street Caddo OK 74729-0128 |
| Mailing Address |
Po Box 128 Caddo OK 74729-0128 |
| Practice Telephone | 5803672208 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
600 S MCPHERREN STREET |
| City | CADDO |
| State | OK |
| Zip Code | 74729-0128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760721294 | Emily Ruth Love | Nurse Practitioner | 128 Buffalo St., Caddo, OK 74729 | 2013-02-04 |
| 1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
| 1477899532 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-12-18 |
| 1033251525 | Bryan County School District I5 | Local Education Agency (LEA) | 600 S Mcpheron, Caddo, OK 74729-0128 | 2007-02-13 |
| 1821413501 | Tina Renee Harrison | Nurse Practitioner | 128 Buffalo Stree, Caddo, OK 74729-0146 | 2014-03-04 |
| 1730560459 | Jennifer Green | Case Manager/Care Coordinator | 610 Russell Rd, Caddo, OK 74729-1111 | 2015-06-18 |
| 1225357858 | Dion Lynore Martin | Counselor | 529 Hope Cir # 17, Caddo, OK 74729-1800 | 2010-05-21 |
| 1053639278 | Dana Melynda Blackwell | Behavioral Analyst | 6544 Nails Crossing Rd, Caddo, OK 74729-2016 | 2010-05-12 |
| 1154733293 | Onesource LLC | Pharmacy | 124 Buffalo St, Caddo, OK 74729-2606 | 2014-05-23 |
| 1033354121 | Kari Kamay Harrison | Registered Nurse | 138 Freeny Valley Rd, Caddo, OK 74729-2607 | 2008-12-04 |
| Find all providers in zip 74729 | ||||
| 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 |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1649878679 | Paula Mitchell Therapy, LLC | Speech-Language Pathologist | 3930 Indian Point Cir, Norman, OK 73026-8634 | 2020-10-12 |
| 1457958175 | Shaye Lynn Kirkpatrick | Speech-Language Pathologist | 11912 S Nandina St, Jenks, OK 74037-4375 | 2020-10-06 |
| 1427655158 | Erin Katherine Durbin | Speech-Language Pathologist | 3628 S Blackberry Ln, Atoka, OK 74525-5447 | 2020-10-06 |
| 1649887134 | Julianna Whiteley Dittus | Speech-Language Pathologist | 1639 S Florence Pl, Tulsa, OK 74104-5214 | 2020-09-28 |
| 1386250769 | Jessica Nicole Jacobs | Speech-Language Pathologist | 315 E Peak Blvd, Muskogee, OK 74403-8515 | 2020-09-21 |
| 1134735970 | Grace Marie Prieto | Speech-Language Pathologist | 505 E Sheridan Ave Apt 1126, Oklahoma City, OK 73104-6704 | 2020-09-17 |
| 1972118297 | Tammy Sanders | Speech-Language Pathologist | 10208 Berrywood Dr, Oklahoma City, OK 73151-4006 | 2020-09-14 |
| 1346854932 | Angela Lea Smith | Speech-Language Pathologist | 2222 Sw 44th St, Oklahoma City, OK 73119-3526 | 2020-09-01 |
| 1093329765 | Emma E Laborn | Speech-Language Pathologist | 14002 E 21st St # 650, Tulsa, OK 74134-1425 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALICIA PETTETT.
| 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.