BROOKE MYRICK (NPI# 1265905715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265905715 |
| Entity Type | Individual |
| Full Name | BROOKE MYRICK |
| Practice Address |
5532 Jfk Blvd North Little Rock AR 72116-6708 |
| Practice Telephone | 5015883211 |
| Practice Fax Number | 5013532599 |
| Mailing Telephone | 5015883211 |
| Mailing Fax Number | 5013532599 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 200438 | AR | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 200412 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 231704721 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Wilson Loop, Ward, AR 721768656 | 5015883211 |
| Street Address |
5532 JFK BLVD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679895270 | Cristin Amber Hinson | Occupational Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2010-02-23 |
| 1437707460 | Alayne Mayo | Physical Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2019-09-03 |
| 1912554205 | Hope Mosley | Speech-Language Pathologist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2019-08-21 |
| 1730736125 | Taylor Hefley | Speech-Language Pathologist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2019-08-21 |
| 1366004525 | Catherine Criddle | Physical Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2019-07-08 |
| 1457818635 | Katie Colford | Occupational Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2019-02-25 |
| 1477017903 | Elizabeth Huff | Developmental Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2019-01-29 |
| 1932674728 | Kerissa Accetta | Occupational Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2018-10-08 |
| 1487137485 | Shelly Moore | Developmental Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2018-09-14 |
| 1144703976 | Sean Mcinerney | Physical Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| 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 |
|---|---|---|---|---|
| 1184244733 | Kiana Manning | Speech-Language Pathologist | 7337 River Pointe Dr Apt 14, North Little Rock, AR 72113-7121 | 2020-04-23 |
| 1609415405 | Skyline Therapy Services LLC | Speech-Language Pathologist | 637 Skyline Dr, North Little Rock, AR 72116-9231 | 2019-12-27 |
| 1548816671 | Cate Crosland | Speech-Language Pathologist | 101 Auburn Dr, North Little Rock, AR 72118-2711 | 2019-08-14 |
| 1093371569 | Keith William Sowell | Speech-Language Pathologist | 6012 Eagle Creek Rd, North Little Rock, AR 72116-5778 | 2019-05-10 |
| 1114482478 | A Natural State of Speech Inc | Speech-Language Pathologist | 207 Lucia Ln, North Little Rock, AR 72113-7602 | 2019-01-31 |
| 1912491267 | Casey Keeney | Speech-Language Pathologist | 4204 Arlington Dr, North Little Rock, AR 72116-8319 | 2018-06-20 |
| 1285136069 | Hand-in-hand Speech and Language Therapy Services, LLC | Speech-Language Pathologist | 10801 Paul Eells Dr, North Little Rock, AR 72113-7608 | 2018-03-07 |
| 1295111649 | Lanzy Brazear | Speech-Language Pathologist | 108 Prospect Trl, North Little Rock, AR 72118-5211 | 2015-08-08 |
| 1467842211 | Kidz Connection | Speech-Language Pathologist | 5307 John F Kennedy Blvd, North Little Rock, AR 72116-6703 | 2015-02-02 |
| 1215355318 | April Jo Mcmillin | Speech-Language Pathologist | 39 Apple Tree Cir, North Little Rock, AR 72118-1157 | 2014-04-04 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on BROOKE MYRICK.
| 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.