MARK ELIAS FORTENBERRY (NPI# 1487824900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487824900 |
| Entity Type | Individual |
| Full Name | MARK ELIAS FORTENBERRY |
| Credential | M.S., CCC-A |
| Practice Address |
10201 Kanis Rd Little Rock AR 72205-6203 |
| Practice Telephone | 5012273800 |
| Practice Fax Number | 5019079750 |
| Mailing Telephone | 5012273800 |
| Mailing Fax Number | 5019079750 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 282 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 1487824900 | 05 |
| Street Address |
10201 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669452686 | Jeffrey L Barber | Otolaryngology | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2006-01-17 |
| 1447804661 | Jenifer Joy Loar | Family Medicine | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2019-07-25 |
| 1164950507 | Sommer Ballard | Audiologist | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2017-05-30 |
| 1467991000 | Brenda O'neal Speed | Nurse Practitioner | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2017-02-15 |
| 1548657646 | Zachary Alexander Ward | Audiologist | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2015-04-16 |
| 1285022947 | Korrine Elise Cope | Audiologist | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2015-01-05 |
| 1104264480 | Chelsea K Burrows | Physical Therapist | 10201 Kanis Rd, Little Rock, AR 72205 | 2013-06-10 |
| 1447593371 | Jamie Bizzell | Otolaryngology | 10201 Kanis Rd, Little Rock, AR 72205 | 2013-03-28 |
| 1164783171 | Laura Vanessa Johnson | Audiologist | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2012-06-06 |
| 1053699793 | Matthew Bryson Howard | Audiologist | 10201 Kanis Rd, Little Rock, AR 72205-6203 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291074 | Mckenna Wright | Audiologist | 11600 Kanis Rd Ste 700, Little Rock, AR 72211-3780 | 2020-03-24 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1790298248 | Little Rock Audiology Clinic, Inc. | Audiologist | 500 S University Ave Ste 405, Little Rock, AR 72205-5306 | 2017-11-07 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| 1336498492 | Matthew Cliff Brown | Audiologist | 9108 N Rodney Parham Rd, Little Rock, AR 72205-1648 | 2012-09-05 |
| 1437471125 | Pat Highley | Audiologist | 5820 Asher Ave, Suite 600, Little Rock, AR 72204-7804 | 2010-02-22 |
| 1245476688 | Mary-martha Sloan Henry | Audiologist | 1412 Mellon St, Little Rock, AR 72207-6150 | 2009-01-06 |
| 1568622900 | Holly Diana Pruss | Audiologist | 1 Childrens Way # 113, Little Rock, AR 72202-3500 | 2008-06-10 |
| 1124298641 | James Vale Rippy Jr. | Audiologist | 10310 W Markham St Ste 207, Little Rock, AR 72205-1579 | 2008-03-12 |
| 1770764805 | Mary A Chatelain | Audiologist | 10700 N. Rodney Parham Rd, Ste A7, Little Rock, AR 72212 | 2007-11-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.