MCKENZIE BRAZILE (NPI# 1982087664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982087664 |
| Entity Type | Individual |
| Full Name | MCKENZIE BRAZILE |
| Credential | MS CCC-SLP |
| Practice Address |
2221 Dillon Rd Clovis NM 88101-9454 |
| Practice Telephone | 5757624495 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 5491 | NM | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 104948 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
2221 DILLON RD |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-9454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528059011 | Retirement Ranches, Inc | Skilled Nursing Facility | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2005-11-02 |
| 1275927774 | Travis Erwin | Physical Therapy Assistant | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2015-03-23 |
| 1275879397 | Jessica Adkins | Physical Therapy Assistant | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2012-12-18 |
| 1619234804 | Tia M Delloiacono | Occupational Therapist | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2012-04-12 |
| 1316254477 | Traci Duncan Green | Physical Therapist | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2010-09-09 |
| 1205087186 | Tabitha Star Haynie | Speech-Language Pathologist | 2221 Dillon Rd, Retirement Ranch Inc of Clovis, Clovis, NM 88101-9454 | 2008-10-09 |
| 1558533885 | Valoria Micu-parales | Physical Therapist | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| 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 |
|---|---|---|---|---|
| 1790307122 | Hunavy Stephanie Luy | Speech-Language Pathologist | 2127 Peach Ave Apt 27, Clovis, CA 93612-3548 | 2020-05-07 |
| 1881226587 | Lori Randolph | Speech-Language Pathologist | 3541 Alcove Way, Clovis, CA 93619-8022 | 2020-02-10 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1134519812 | Melissa R Gaston | Speech-Language Pathologist | 420 Bullard Ave Ste 104, Clovis, CA 93612-1054 | 2015-02-02 |
| 1487042669 | Rhonda Honora Stehman | Speech-Language Pathologist | 4556 N Quail Lake Dr, Clovis, CA 93619-4630 | 2014-12-22 |
| 1447670534 | Empower Speech-language Pathology P.C. | Speech-Language Pathologist | 420 Bullard Ave, Suite 104, Clovis, CA 93612-1054 | 2014-04-16 |
| 1629320056 | Noriko Kristen Simpson | Speech-Language Pathologist | 2028 Ellery Ave, Clovis, CA 93611-0651 | 2012-10-09 |
| 1053687418 | Linda Marie Valenti | Speech-Language Pathologist | 2217 Dillon Street, Clovis, NM 88101 | 2012-03-29 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1033345327 | Shambourger & Scott, Inc. | Speech-Language Pathologist | 149 Oak Ave, Clovis, CA 93611-7228 | 2009-06-01 |
| Find all providers in CLOVIS | ||||
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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.