MRS. PORTIA L FOUNTAIN (NPI# 1578074845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578074845 |
| Entity Type | Individual |
| Full Name | MRS. PORTIA L FOUNTAIN |
| Credential | MS CCC-SLP |
| Practice Address |
12007 Water Ridge Dr Oxford MS 38655-6015 |
| Practice Telephone | 6628018064 |
| Mailing Telephone | 6628018064 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S2883 | MS | Speech, Language and Hearing Service Providers |
| Street Address |
12007 WATER RIDGE DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1558833210 | Jeffrey Arthur Howell | Speech-Language Pathologist | 1557 Glass Lake Cir, Oxford, MI 48371-3736 | 2018-12-19 |
| 1902331036 | Abigail C Haas | Speech-Language Pathologist | 169 Highway 6 E Ste 102, Oxford, MS 38655-6902 | 2017-04-26 |
| 1477084051 | Betsy Brittain Brittain | Speech-Language Pathologist | 1130 South Hale Street, Oxford, AL 36203 | 2017-03-24 |
| 1780034355 | Caitlyn Richmond | Speech-Language Pathologist | 2 Tall Pines Dr, Oxford, CT 06478-1470 | 2016-06-15 |
| 1033586045 | Dorothy Stuart | Speech-Language Pathologist | 503 Maple Cv, Oxford, MS 38655-9673 | 2015-08-25 |
| 1922490598 | Haley Addis | Speech-Language Pathologist | 350 Center Rock Grn Ste 10, Oxford, CT 06478-3170 | 2015-02-19 |
| 1750782421 | Kara Stacy | Speech-Language Pathologist | 5745 E 850 S, Oxford, IN 47971-8679 | 2014-09-11 |
| 1497154355 | Andrea Carol Staten | Speech-Language Pathologist | 146 Yocona Ridge Rd, Oxford, MS 38655-6904 | 2014-08-17 |
| 1245642529 | Lois Meade | Speech-Language Pathologist | 111 E High St, Oxford, OH 45056-1819 | 2014-05-21 |
| Find all providers in OXFORD | ||||
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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.