DR. JOHN WILLIAM FAIRCLOTH (NPI# 1346742988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346742988 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM FAIRCLOTH |
| Credential | ED.D., SLP-CCC |
| Practice Address |
2107 Liberty St Chesapeake VA 23324-3527 |
| Practice Telephone | 7574947600 |
| Practice Fax Number | 7574947573 |
| Mailing Telephone | 7574947600 |
| Mailing Fax Number | 7574947573 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202001051 | VA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BOARD OF AUDIOLOGY AND SPEECH PATHOLOGY | 2202001051 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1063543890 | John Myron Faircloth | Nurse Practitioner | 127 E Redstone Ave Ste C, Crestview, FL 32539-5356 | 2007-03-07 |
| Street Address |
2107 LIBERTY ST |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23324-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787243 | Brianna Lyons | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-10-16 |
| 1043837198 | Romeo Linaes Mosley Jr. | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-07-06 |
| 1124645205 | Tawana Burnett Fortune | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-07-06 |
| 1518581818 | Tia Davis | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-06-02 |
| 1902429798 | Coleen Lively | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-05-27 |
| 1114549995 | Bailey Rector | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-05-14 |
| 1205456712 | Erin Marie Boger | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-24 |
| 1811517683 | Tara Zamora | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-22 |
| 1124648100 | Diana Leigh Lundquist | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-20 |
| 1366062481 | Susan Storberg | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779588 | Cynthia Dupree | Counselor | 1145 Commerce Ave, Chesapeake, VA 23324 | 2020-01-14 |
| 1699263780 | Barbara Ann Schweiger | Speech-Language Pathologist | 2601 Broad Street, Chesapeake, VA 23324 | 2018-04-25 |
| 1346738531 | Deanne Melworth Lindsey | Speech-Language Pathologist | 2107 Liberty Street, Chesapeake, VA 23324 | 2018-04-24 |
| 1265801104 | Vamedicabi,llc | Non-emergency Medical Transport (VAN) | 3404 Bainbridge Blvd, Chesapeake, VA 23324 | 2015-09-22 |
| 1225358781 | Madelyn Ortiz Brito | Psychologist | 2710 Ike St Trlr 22, Chesapeake, VA 23324 | 2010-06-08 |
| 1427385780 | Ivyrehab Sept, LLC | Physical Therapist | 801 Poindexter Street, Suite 219, Chesapeake, VA 23324 | 2009-11-06 |
| 1225102510 | Rodolfo Cejas Rosas | Internal Medicine | 2709 Campostilla Rd, Ste E, Chesapeake, VA 23324 | 2006-11-20 |
| 1043381759 | Chesapeake City Public Schools | Local Education Agency (LEA) | 2107 E. Liberty St, Chesapeake, VA 23324 | 2006-11-13 |
| 1679668941 | Lisa Cordero | Nurse Practitioner | 490 Liberty Street, Chesapeake, VA 23324 | 2006-10-04 |
| 1437259801 | Robert James Mealy IIi | Dentist | 2737 Campostella Rd, Chesapeake, VA 23324 | 2006-09-25 |
| Find all providers in zip 23324 | ||||
| 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 |
|---|---|---|---|---|
| 1942819529 | Takayla S Kendrick | Speech-Language Pathologist | 2008 Dock Landing Rd # L, Chesapeake, VA 23321-3512 | 2020-07-29 |
| 1922622844 | Wendy Childress | Speech-Language Pathologist | 525 Giles Dr, Chesapeake, VA 23322-3849 | 2020-06-05 |
| 1063061547 | Jennifer Lees | Speech-Language Pathologist | 3 Private Drive 10659, Chesapeake, OH 45619-6000 | 2019-09-08 |
| 1922653401 | Nicole Renee Pelon | Speech-Language Pathologist | 912 Redstart Ave, Chesapeake, VA 23324-1840 | 2019-08-02 |
| 1417516758 | Lillie M. Wheeler | Speech-Language Pathologist | 4201 Hawksley Dr, Chesapeake, VA 23321-5427 | 2019-06-11 |
| 1093372575 | Athena Spingler | Speech-Language Pathologist | 1955 Deal Dr, Chesapeake, VA 23323-3218 | 2019-05-21 |
| 1316428162 | John Davanzo | Speech-Language Pathologist | 900 Bells Creek Ct, Chesapeake, VA 23322-7426 | 2018-08-28 |
| 1477030518 | Sharon Spellman | Speech-Language Pathologist | 705 Pebble Quay, Chesapeake, VA 23320-2022 | 2018-07-22 |
| 1972098945 | Brynne Burkett | Speech-Language Pathologist | 1997 Hawk Blvd, Chesapeake, VA 23322-2125 | 2018-06-22 |
| 1629563630 | Lorraine Boardley Thompson IIi | Speech-Language Pathologist | 436 Providence Rd, Chesapeake, VA 23325-4603 | 2018-06-22 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23324 |
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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.