MCKENZIE PACK (NPI# 1699296640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699296640 |
| Entity Type | Individual |
| Full Name | MCKENZIE PACK |
| Practice Address |
2407 W Louisiana Ave Ste 110 Midland TX 79701-5826 |
| Practice Telephone | (432) 570-4400 |
| Practice Fax Number | 4325704460 |
| Mailing Telephone | 4325704400 |
| Mailing Fax Number | 4325704460 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS DEPARTMENT OF LICENSING & REGULATION LICENSED SPEECH PATHO | 113426 | 01 |
| Street Address |
2407 W LOUISIANA AVE STE 110 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615152 | Megan E Mcwilliams | Speech-Language Pathologist | 2407 W Louisiana Ave Ste 110, Midland, TX 79701-5826 | 2019-05-29 |
| 1346805223 | Ana Laura Flores | Specialist/Technologist | 2407 W Louisiana Ave Ste 110, Midland, TX 79701-5826 | 2019-05-06 |
| 1982183505 | Bethany Poe | Speech-Language Pathologist | 2407 W Louisiana Ave Ste 110, Midland, TX 79701-5826 | 2018-08-14 |
| 1417433012 | Loraly Gutierrez | Speech-Language Pathologist | 2407 W Louisiana Ave Ste 110, Midland, TX 79701-5826 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| 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 |
|---|---|---|---|---|
| 1366075269 | Karen Ann Walton Ebnit | Speech-Language Pathologist | 4614 Kingston Ct, Midland, MI 48642-3534 | 2020-02-19 |
| 1295370740 | Thompson Speech Therapy Pllc | Speech-Language Pathologist | 5905 Oak Creek Dr, Midland, TX 79707-3184 | 2019-11-07 |
| 1871074401 | Dlya Anne Parsons | Speech-Language Pathologist | 801 S Loop 250 W, Midland, TX 79703-2134 | 2018-08-22 |
| 1902383888 | Linnea Elizabeth Farish | Speech-Language Pathologist | 4308 Boulder Dr, Midland, TX 79707-3612 | 2018-07-24 |
| 1669904652 | Heather Hill Mata | Speech-Language Pathologist | 6303 Driftwood Dr, Midland, TX 79707-1642 | 2017-03-30 |
| 1548618051 | Kathleen Kinnish | Speech-Language Pathologist | 6015 Dover Ct, Midland, MI 48640-7340 | 2016-05-25 |
| 1013370071 | Lauren Szot | Speech-Language Pathologist | 5511 Rio Grande Ave, Midland, TX 79707-9701 | 2016-03-29 |
| 1689031940 | Jennifer Lewis | Speech-Language Pathologist | 2506 Abbott Rd Apt P5, Midland, MI 48642-4876 | 2016-01-18 |
| 1285019182 | Kimberly Calzada | Speech-Language Pathologist | 4822 W Illinois Ave, Midland, TX 79703-6036 | 2015-07-21 |
| 1649654799 | Kelli Barnes | Speech-Language Pathologist | 2411 S County Road 1119, Midland, TX 79706-4975 | 2015-07-17 |
| Find all providers in MIDLAND | ||||
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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.