MRS. MIRANDA WYNN BULLOCK-DAVIDSON (NPI# 1104144336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104144336 |
| Entity Type | Individual |
| Full Name | MRS. MIRANDA WYNN BULLOCK-DAVIDSON |
| Credential | M.S., CFY-SLP |
| Practice Address |
1001 Monarch St Ste. 110 Lexington KY 40513-1495 |
| Practice Telephone | 8592240834 |
| Mailing Telephone | 8592240834 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 10-027 | KY | Speech, Language and Hearing Service Providers |
| Street Address |
1001 MONARCH ST STE. 110 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40513-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308764 | Lde, Md, Pllc | Internal Medicine | 1001 Monarch St, Ste 110, Lexington, KY 40513-1848 | 2006-08-29 |
| 1568829802 | Garnett C. Brown IIi D.m.d. Psc | Dentist | 1001 Monarch St, Suite 200, Lexington, KY 40513-1495 | 2016-01-18 |
| 1891939344 | Blair Ellen Wagoner | Physical Therapist | 1001 Monarch St, Suite 110, Lexington, KY 40513-1495 | 2009-04-28 |
| 1619110194 | Jennifer Liggett Hellard | Speech-Language Pathologist | 1001 Monarch St, Suite 110, Lexington, KY 40513-1848 | 2009-04-13 |
| 1811148935 | On The Move Pediatric Therapy | Physical Therapist | 1001 Monarch St, Suite 110, Lexington, KY 40513-1848 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
| 1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
| 1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
| 1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
| 1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
| 1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
| Find all providers in zip 40513 | ||||
| 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 |
|---|---|---|---|---|
| 1427655596 | Charity R. Goings | Speech-Language Pathologist | 101 Saluda Pointe Dr Unit 612, Lexington, SC 29072-7061 | 2020-10-02 |
| 1669084349 | Holly E Steiger | Speech-Language Pathologist | 110 Hartwell Ave # 350, Lexington, MA 02421-3118 | 2020-08-23 |
| 1477170769 | Lauren Elizabeth Shnowske | Speech-Language Pathologist | 740 S Limestone Suite B301, Lexington, KY 40536-0001 | 2020-07-02 |
| 1093331001 | Mackenzie Mize Usher | Speech-Language Pathologist | 3108 Majestic View Walk, Lexington, KY 40511-8882 | 2020-06-25 |
| 1609492883 | Lauren Hogue | Speech-Language Pathologist | 621 Green Ridge Ct, Lexington, KY 40517-1934 | 2020-06-23 |
| 1982220778 | Valerie Lane Swager | Speech-Language Pathologist | 487 Highway 378, Lexington, SC 29072-9177 | 2020-06-17 |
| 1508490038 | Inspire Speech and Feeding LLC | Speech-Language Pathologist | 114 N Church St, Lexington, SC 29072-2808 | 2020-02-24 |
| 1043858350 | Karen Small Boatwright | Speech-Language Pathologist | 1118 Old Cherokee Rd, Lexington, SC 29072-8142 | 2019-12-17 |
| 1699313106 | Ciera Mills | Speech-Language Pathologist | 993 Mason Headley Road, Easterseals Cardinal Hill, Lexington, KY 40504-2246 | 2019-12-16 |
| 1043856024 | Sydney Elise Colburn | Speech-Language Pathologist | Easterseals Cardinal Hill, 993 Manson Headley Road, Lexington, KY 40504-2246 | 2019-11-25 |
| Find all providers in LEXINGTON | ||||
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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.