MRS. AUDREY LYNNE SMART (NPI# 1255630513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255630513 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY LYNNE SMART |
| Credential | M.S., SLP |
| Practice Address |
4630 Jacob Ln Southaven MS 38672-6732 |
| Mailing Address |
4630 Jacob Ln 4630 Jacob Ln Southaven MS 38672-6732 |
| Practice Telephone | 6628937321 |
| Mailing Telephone | 6628937321 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S3315 | MS | Speech, Language and Hearing Service Providers |
| Street Address |
4630 JACOB LN |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-6732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| 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 |
|---|---|---|---|---|
| 1023352754 | Felicia Booker | Speech-Language Pathologist | 670 Whispering Oak Dr, Apartment 204, Southaven, MS 38671-7188 | 2012-11-19 |
| 1316291313 | Melissa Fuqua | Speech-Language Pathologist | 7160 Tchulahoma Rd Ste 1, Southaven, MS 38671-9266 | 2012-10-30 |
| 1508168113 | Chelcey Rennee Wells | Speech-Language Pathologist | 7160 Tchulahoma Rd Ste B4, Southaven, MS 38671-9268 | 2010-12-02 |
| 1386816700 | Key Therapy, Pllc | Speech-Language Pathologist | 7145 Swinnea Rd, Suite 1, Southaven, MS 38671-6380 | 2008-03-25 |
| 1922286863 | Mia Jaquay Kimmons | Speech-Language Pathologist | 7145 Swinnea Road, Suite # 1, Southaven, MS 38671-6013 | 2008-02-01 |
| 1174738504 | Laurie Elise Johnson | Speech-Language Pathologist | 83 Airways Place, Southaven, MS 38671 | 2007-05-11 |
| 1922120930 | Mironda Danye' Carmicle | Speech-Language Pathologist | 2303 Ansley Park Ln, Southaven, MS 38672-8397 | 2007-04-03 |
| 1306962600 | Courtney Scott Bauer | Speech-Language Pathologist | 5779 Getwell Rd, Bldg. D, Suite 3, Southaven, MS 38672-6347 | 2007-03-21 |
| 1194836056 | Therapy Zone, LLC | Speech-Language Pathologist | 7160 Tchulahoma, Bld B, Suite 4, Southaven, MS 38671-9266 | 2006-08-31 |
| 1093295370 | Larualee Fant Nowell | Speech-Language Pathologist | 83 Airways Pl, Southaven, MS 38671-5885 | 2018-08-16 |
| Find all providers in SOUTHAVEN | ||||
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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.