MACY UNDERWOOD DICKINSON (NPI# 1245850551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245850551 |
| Entity Type | Individual |
| Full Name | MACY UNDERWOOD DICKINSON |
| Credential | MS, CCC-SLP |
| Practice Address |
304 Turner Mccall Blvd Sw Rome GA 30165-5621 |
| Mailing Address |
3962 Johnstown Dr Montgomery AL 36109-2310 |
| Practice Telephone | 7065095000 |
| Mailing Telephone | 3346693964 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP010928 | GA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 4271 | AL | Speech, Language and Hearing Service Providers |
| Street Address |
304 TURNER MCCALL BLVD SW |
| City | ROME |
| State | GA |
| Zip Code | 30165-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477501047 | Sonya R Collins | Pediatrics | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2006-05-05 |
| 1316546013 | Forrest Baker Simpson | Registered Nurse | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-10-22 |
| 1093324477 | Maggie Brewer | Occupational Therapist | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-07-30 |
| 1225646458 | Carril Safia Alexander | Nurse Practitioner | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-07-14 |
| 1164049656 | Kim Carlos Farmer | Nurse Practitioner | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-30 |
| 1497370506 | Nathan Henry | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-15 |
| 1124643291 | Gokhan Emre Taskale | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1962027037 | Adriana Delmonico | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1295350494 | Edward Lawson Held | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1740805951 | Yassmin Shariff | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1871190561 | Brian Tye | Speech-Language Pathologist | 1168 Chulio Rd Se, Rome, GA 30161-4084 | 2020-10-06 |
| 1467011270 | Whitney Lauren Rogers | Speech-Language Pathologist | 527 Broad St, Rome, GA 30161-3095 | 2019-06-06 |
| 1982027991 | Janette Lee Muttillo | Speech-Language Pathologist | 130 Northwood Cir, Rome, NY 13440-0704 | 2014-01-27 |
| 1790125789 | Julianna R Vanmeter | Speech-Language Pathologist | 205 W Cedar St, Rome, NY 13440-2735 | 2013-07-05 |
| 1689968075 | Kristen Nicole Arcuri | Speech-Language Pathologist | 801 Laurel St, Rome, NY 13440-3229 | 2011-06-03 |
| 1134413529 | Jennifer Elizabeth Guiliano | Speech-Language Pathologist | 1806 N James St, Rome, NY 13440-2420 | 2011-06-03 |
| 1326332719 | Kristen Meiss | Speech-Language Pathologist | 1321 Franklyn St, Rome, NY 13440-2812 | 2011-06-03 |
| 1083906903 | Jean M Lovett | Speech-Language Pathologist | 8658 Elmer Hill Rd, Rome, NY 13440-9313 | 2011-05-11 |
| 1487955886 | Jennifer Lee Yanik | Speech-Language Pathologist | 95 Dart Cir, Rome, NY 13441-4231 | 2010-11-16 |
| 1366743338 | Dionne Michelle Underwood | Speech-Language Pathologist | 200 W Dominick St, Nys Office for People With Developmental Disabilities, Rome, NY 13440-5846 | 2010-11-08 |
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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.