BETHANIE JOHNSON (NPI# 1689080152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689080152 |
| Entity Type | Individual |
| Full Name | BETHANIE JOHNSON |
| Practice Address |
4100 W 32nd Ave Pine Bluff AR 71603-4768 |
| Mailing Address |
3810 Camden Rd Pine Bluff AR 71603-9090 |
| Practice Telephone | 8708791252 |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2014-07-06 |
| 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 |
4100 W 32ND AVE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| 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 |
|---|---|---|---|---|
| 1285019067 | Tara Winingar | Speech-Language Pathologist | 3605 Oakwood Rd, Pine Bluff, AR 71603-9052 | 2015-07-22 |
| 1336484476 | Joann C Gregory | Speech-Language Pathologist | 9620 Middle Warren Rd, Pine Bluff, AR 71603-9245 | 2012-11-30 |
| 1013210582 | Dana Reese | Speech-Language Pathologist | 512 S Pine St, Pine Bluff, AR 71601-4254 | 2010-12-06 |
| 1154562486 | Margarette Anne Williams | Speech-Language Pathologist | 901 West 6th Ave, Pine Bluff, AR 71601-4032 | 2009-03-17 |
| 1740420694 | Faytrene Thomas | Speech-Language Pathologist | 318 W 24th Ave, Pine Bluff, AR 71601-7811 | 2009-03-04 |
| 1659551430 | Jennifer Lynn Mckinney | Speech-Language Pathologist | 2508 Sheffield Dr, Pine Bluff, AR 71603-7525 | 2007-11-08 |
| 1740499482 | Kimberly Shante Fox | Speech-Language Pathologist | 2009 W Short 14th Ave, Pine Bluff, AR 71603-3218 | 2007-05-21 |
| 1942424585 | Pine Bluff School District | Speech-Language Pathologist | 1215 W Pullen St, Pine Bluff, AR 71601-3449 | 2007-04-13 |
| 1265047948 | Li Xin-smith | Speech-Language Pathologist | 4900 Dollarway Rd, Pine Bluff, AR 71602-4006 | 2020-09-10 |
| 1083226617 | Eryn Nicole Wilson | Speech-Language Pathologist | 912 W 6th Ave, Pine Bluff, AR 71601-4033 | 2020-08-17 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on BETHANIE JOHNSON.
| 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.