JARED SCOTT BALLARD (NPI# 1417441833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417441833 |
| Entity Type | Individual |
| Full Name | JARED SCOTT BALLARD |
| Credential | CF-SLP |
| Practice Address |
101 Brightwater Dr Myrtle Beach SC 29579 |
| Mailing Address |
111 Village Center Blvd Unit 2115 Myrtle Beach SC 29579-6718 |
| Practice Telephone | 8434920543 |
| Mailing Telephone | 3048384911 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6557 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
101 BRIGHTWATER DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417152240 | Haley Davis Moore | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2007-06-20 |
| 1376164681 | Brandon Thomas Causey | Speech-Language Pathologist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2020-04-28 |
| 1972094456 | Patrick Brenden Yee | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2018-05-21 |
| 1326540022 | William Tyler Broome | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2018-03-08 |
| 1609382845 | Rachael Wilson | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2017-12-26 |
| 1972014082 | Alexis Renee Magoto | Speech-Language Pathologist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2017-10-16 |
| 1548704067 | Lisa Rodgers | Physical Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2016-12-19 |
| 1235671694 | Tricia Vanriper | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2016-11-16 |
| 1972051217 | Alissa Vidovich | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2016-09-15 |
| 1942676176 | Michael Jesse Shearer | Physical Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 1396399895 | Devin A Kemper | Speech-Language Pathologist | 820 Oxbow Dr, Myrtle Beach, SC 29579-5159 | 2019-08-01 |
| 1528560877 | Parent's Choice Therapy, LLC | Speech-Language Pathologist | 532 Chamberlin Rd, Myrtle Beach, SC 29588-5431 | 2018-03-02 |
| 1437670023 | Andrea R Veneziale | Speech-Language Pathologist | 8703 Highway 17 Byp S # 1, Myrtle Beach, SC 29575-7701 | 2017-07-05 |
| 1295262053 | Johanna Moeller | Speech-Language Pathologist | 8703 Highway 17 Bypass S, Suite I, Myrtle Beach, SC 29575 | 2017-05-11 |
| 1811378193 | Kayla M Scott | Speech-Language Pathologist | 1356 Glenns Bay Rd, 208-g, Myrtle Beach, SC 29575-4743 | 2015-06-12 |
| 1316375298 | Miriam Michelle Peacock Beaber | Speech-Language Pathologist | 4810 Brookside Ln, Myrtle Beach, SC 29579-3197 | 2013-10-31 |
| 1083041347 | Cynthia Marie Funston | Speech-Language Pathologist | 950 International Dr, Myrtle Beach, SC 29579-3488 | 2013-10-02 |
| 1437595071 | William Byron Jones | Speech-Language Pathologist | 714 Bonnie Dr, Myrtle Beach, SC 29588-6001 | 2013-05-21 |
| 1902160609 | Kelli Renee Hamblen | Speech-Language Pathologist | 704 21st Ave N, Myrtle Beach, SC 29577-7400 | 2012-06-27 |
| 1710245436 | Judy Ann Mewhorter | Speech-Language Pathologist | 1191 Brighton Ave, Myrtle Beach, SC 29588-5408 | 2012-05-01 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.