JACEY LAYNE TRAVIS (NPI# 1568717155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568717155 |
| Entity Type | Individual |
| Full Name | JACEY LAYNE TRAVIS |
| Practice Address |
545 Rowlett Rd Suite A Garland TX 75043-3700 |
| Mailing Address |
5316 Trail Lake Dr Fort Worth TX 76133-1931 |
| Practice Telephone | 9723037021 |
| Practice Fax Number | 8177896849 |
| Mailing Telephone | 8172928787 |
| Mailing Fax Number | 8177896849 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 36944 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149984001 | 05 | |
| TX | 207164901 | 05 |
| Street Address |
545 ROWLETT RD SUITE A |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508065426 | Pedi Spot LLC | Clinic/Center | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2007-07-11 |
| 1568715027 | Ana Maria Wolf-carrizo | Dietitian, Registered | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043-3700 | 2012-10-22 |
| 1477804359 | Daphna Shriki | Occupational Therapist | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043-3700 | 2012-10-02 |
| 1134478688 | Jennifer Leann Mitchell | Speech-Language Pathologist | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043 | 2012-08-30 |
| 1710242334 | Andrew Steven Bowers | Speech-Language Pathologist | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2012-07-10 |
| 1659639425 | Rintu Roy Varghese | Occupational Therapist | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2012-04-30 |
| 1316243827 | Susan D Randall | Specialist/Technologist | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043-3700 | 2011-01-31 |
| 1609171503 | Brooke Hart | Specialist/Technologist | 545 Rowlett Rd, Suite A & B, Garland, TX 75043-3700 | 2011-01-24 |
| 1922303924 | Whitney A Smith | Physical Therapist | 545 Rowlett Rd, Suite A &b, Garland, TX 75043-3700 | 2011-01-21 |
| 1407157274 | Elva Gray | Physical Therapy Assistant | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2010-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| 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 |
|---|---|---|---|---|
| 1467013128 | Joi L Jones | Speech-Language Pathologist | 2825 Emberwood Dr, Garland, TX 75043-6051 | 2019-06-24 |
| 1780167445 | Kyndall Dollar | Speech-Language Pathologist | 1606 Iroquois Dr, Garland, TX 75043-1637 | 2018-09-10 |
| 1720570534 | Susanah Ball | Speech-Language Pathologist | 3130 Cross Timbers Ln, Garland, TX 75044 | 2018-06-06 |
| 1346741246 | Kiera Daugherty | Speech-Language Pathologist | 410 N International Rd, Garland, TX 75042-6500 | 2018-02-26 |
| 1144734948 | Camila Gonzalez | Speech-Language Pathologist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2017-12-01 |
| 1346759321 | Rebecca Mitcham | Speech-Language Pathologist | 1718 Iroquois Dr, Garland, TX 75043-1639 | 2017-09-22 |
| 1295282911 | Marcia Snyder | Speech-Language Pathologist | 4413 Scenic Cir, Garland, TX 75043-2118 | 2016-09-11 |
| 1174070346 | Tiffany Kelly | Speech-Language Pathologist | 6809 Galway Dr, Garland, TX 75044-3409 | 2016-09-06 |
| 1023496361 | Stephanie Shabana Mathews David | Speech-Language Pathologist | 2201 Harvest Run, Garland, TX 75040-8935 | 2015-05-06 |
| 1083019921 | Courtney Willis | Speech-Language Pathologist | 3130 N Shiloh Rd, Garland, TX 75044-8014 | 2014-11-04 |
| Find all providers in GARLAND | ||||
Please comment or provide details below to improve the information on JACEY LAYNE TRAVIS.
| 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.