SHANE WORTHINGTON (NPI# 1578087763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578087763 |
| Entity Type | Individual |
| Full Name | SHANE WORTHINGTON |
| Credential | SLPA |
| Practice Address |
712 Calvin Avery Dr Ste C West Memphis AR 72301-6515 |
| Mailing Address |
215 Eldon Cv Marion AR 72364-2385 |
| Practice Telephone | 8703949550 |
| Practice Fax Number | 8702923422 |
| Mailing Telephone | 8708978892 |
| Mailing Fax Number | 8702923422 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| Street Address |
712 CALVIN AVERY DR STE C |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652189 | Diane Phillips | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2019-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| 1093099061 | Erica Y Matlock | Specialist/Technologist | 200 W Broadway St, West Memphis, AR 72301-3904 | 2011-10-07 |
| 1922652189 | Diane Phillips | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2019-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
| 1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
| 1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
| 1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
| 1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
| 1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
| 1710418058 | Terri Joyce Heffington | Specialist/Technologist | 4605 E Highway 64, Ozark, AR 72949-9850 | 2017-03-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.