TANYA S WILLIS (NPI# 1831441146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831441146 |
| Entity Type | Individual |
| Full Name | TANYA S WILLIS |
| Practice Address |
10815 Old Highway 64 Bolivar TN 38008-3599 |
| Mailing Address |
11415 Lake Hardeman Rd Middleton TN 38052-4237 |
| Practice Telephone | 7316582510 |
| Mailing Telephone | 7316090238 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0000001707 | TN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891345070 | Tanya Renee Willis | Registered Nurse | 19166 La Quinta Pl, Apple Valley, CA 92308-2700 | 2019-09-19 |
| 1306873732 | Tanya Willis | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-28 |
| Street Address |
10815 OLD HIGHWAY 64 |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-3599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902144892 | Hardeman County Schools | Local Education Agency (LEA) | 10815 Old Highway 64, Bolivar, TN 38008-3599 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| 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 |
|---|---|---|---|---|
| 1952915761 | Carol Ehrhardt | Speech-Language Pathologist | 620 E Destin Ln, Bolivar, MO 65613-2253 | 2020-08-31 |
| 1306361787 | Mackenzie Culver German | Speech-Language Pathologist | 1340 Nuckolls Rd, Bolivar, TN 38008-1406 | 2017-08-07 |
| 1124484548 | Gabrielle Laux | Speech-Language Pathologist | 8404 French Hill Rd Nw, Bolivar, OH 44612-8413 | 2016-01-14 |
| 1689058950 | Kyla Van Black | Speech-Language Pathologist | 4586 S 116th Rd, Bolivar, MO 65613-8547 | 2015-07-16 |
| 1821400474 | Missouri Speech Therapy | Speech-Language Pathologist | 1009 Hwy B, Bolivar, MO 65613-8252 | 2014-05-29 |
| 1902054992 | Angela Renee Baron | Speech-Language Pathologist | 210 Olive St, Bolivar, NY 14715-1324 | 2008-09-03 |
| 1588820831 | Sheri Kaye Reeves | Speech-Language Pathologist | 1454 E 420th Rd, Bolivar, MO 65613-1197 | 2008-08-05 |
| 1477687713 | Erin Giglio | Speech-Language Pathologist | 1541 Highway Kk, Bolivar, MO 65613-8446 | 2007-03-16 |
| 1992837132 | Beth Marie Bernard | Speech-Language Pathologist | 524 W Madison St, Bolivar, MO 65613-1945 | 2007-03-12 |
| 1992849160 | Wendy M Lueckenhoff | Speech-Language Pathologist | 452 S Springfield Ave, Bolivar, MO 65613-2146 | 2007-02-19 |
| Find all providers in BOLIVAR | ||||
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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.