CARLA CHISM (NPI# 1235673351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235673351 |
| Entity Type | Individual |
| Full Name | CARLA CHISM |
| Credential | MS CCC-SLP |
| Practice Address |
2564 Highway 345 Pontotoc MS 38863 |
| Practice Telephone | 6624190934 |
| Mailing Telephone | 6624190934 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3362 | MS | Speech, Language and Hearing Service Providers |
| Street Address |
2564 HIGHWAY 345 |
| City | PONTOTOC |
| State | MS |
| Zip Code | 38863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429176 | Erik Goodwin | Chiropractor | 1 Goodwin Drive, Pontotoc, MS 38863 | 2020-08-28 |
| 1003455379 | Billie Jay Holloway | Technician | 1357 Hwy 9 South, Pontotoc, MS 38863 | 2020-01-03 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| 1699290460 | Jamie Michelle Holloway | Nurse Practitioner | 1374 Cooke Road, Pontotoc, MS 38863 | 2017-08-13 |
| 1669924379 | Stephanie N Watson | Nurse Practitioner | 351 Peoples Dr. # A, Pontotoc, MS 38863 | 2016-10-28 |
| 1003285461 | Timothy R Watson | Nurse Practitioner | Acute Care and Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 | 2015-09-16 |
| 1770995938 | Mississippi Professional Counseling Associates | Social Worker | 356a East Oxford Street, Pontotoc, MS 38863 | 2014-05-22 |
| 1376852525 | Kenneth E Prewett | Pharmacist | 170 Highway 15 N, Pontotoc, MS 38863 | 2010-10-05 |
| 1801105051 | Thomas Keith Guntharp | Pharmacist | 170 Highway 15 North, Pontotoc, MS 38863 | 2010-10-05 |
| 1851618193 | Pilar Gonzalez | Social Worker | 241-a County Road 501, Ripley, MS 38863 | 2010-04-27 |
| Find all providers in zip 38863 | ||||
| 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 |
|---|---|---|---|---|
| 1790222552 | Brittany Lashae Bevill | Speech-Language Pathologist | 176 S Main St, Pontotoc, MS 38863-3311 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766928 | Delaynee Marchant | Speech-Language Pathologist | 2105 Country Club Rd, Grenada, MS 38901-4834 | 2020-10-08 |
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1578176202 | Kaylan Williams | Speech-Language Pathologist | 643 Westbrook Rd, Courtland, MS 38620-9458 | 2020-08-24 |
| 1942813647 | Allie Reid | Speech-Language Pathologist | 160 E Franklin St, Natchez, MS 39120-3610 | 2020-08-24 |
| 1780296525 | Moore Speech Therapy, LLC | Speech-Language Pathologist | 3688 Flat Rock Dr, Hernando, MS 38632-4445 | 2020-08-22 |
| 1255940615 | Bernude Jesucat | Speech-Language Pathologist | 1024 Us-61, Tunica, MS 38676 | 2020-07-30 |
| 1629686126 | Ann Turner Troutt | Speech-Language Pathologist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-07-21 |
| 1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
| 1831717446 | Misty Michelle Moore | Speech-Language Pathologist | 6444 Highway 43 S, Kosciusko, MS 39090-9459 | 2020-07-09 |
| 1467070334 | Language Lounge LLC | Speech-Language Pathologist | 2053 Barto Leggett Rd, Mccomb, MS 39648-9327 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.