RAVEN SAMONE WATKINS (NPI# 1154812261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154812261 |
| Entity Type | Individual |
| Full Name | RAVEN SAMONE WATKINS |
| Practice Address |
2537 Oakleaf Rdg Lithonia GA 30058-6638 |
| Mailing Address |
324 Stevens Entry Peachtree City GA 30269-1325 |
| Practice Telephone | 2054995837 |
| Mailing Telephone | 6786190178 |
| Mailing Fax Number | 6787011139 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLPA000313 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
2537 OAKLEAF RDG |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| 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 |
|---|---|---|---|---|
| 1134687908 | Treva Tai Bibbs-bugg | Speech-Language Pathologist | 3123 Klondike Rd, Lithonia, GA 30038-3409 | 2019-03-11 |
| 1063905297 | La'toya Williams | Speech-Language Pathologist | 2540 Wiggins St Ste E, Lithonia, GA 30058-4312 | 2018-06-12 |
| 1083158521 | Destiny Marie Byrd | Speech-Language Pathologist | 4512 Jackam Ridge Ct, Lithonia, GA 30038-6280 | 2016-12-16 |
| 1962847640 | Stephanie W Garrison | Speech-Language Pathologist | 5929 Trent Walk Dr, Lithonia, GA 30038-1964 | 2013-05-08 |
| 1417213901 | Lenear LLC | Speech-Language Pathologist | 4979 Tadmore Ln, Lithonia, GA 30038-2237 | 2012-04-09 |
| 1619263126 | Tiffani H Monroe | Speech-Language Pathologist | 4315 Palisades Place Dr, Lithonia, GA 30038-6146 | 2011-06-22 |
| 1326352402 | Families Matter Therapies, LLC | Speech-Language Pathologist | 7162 Lone Oak Way, Lithonia, GA 30058-8291 | 2010-08-02 |
| 1700022829 | Speech Therepeze | Speech-Language Pathologist | 5784 Fairington Farms Ct, Lithonia, GA 30038-1551 | 2008-12-18 |
| 1376747428 | Tawny Crystal Small-burnam | Speech-Language Pathologist | 6886 Main St Ste 1b2, Box 4, Lithonia, GA 30058-4508 | 2007-06-13 |
| 1013126770 | Tameka Blanette Bacon | Speech-Language Pathologist | 7327 Vigo Dr, Lithonia, GA 30058-5966 | 2007-05-21 |
| Find all providers in LITHONIA | ||||
Please comment or provide details below to improve the information on RAVEN SAMONE WATKINS.
| 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.