MAE ROSE TYSON (NPI# 1669070009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669070009 |
| Entity Type | Individual |
| Full Name | MAE ROSE TYSON |
| Credential | MS CF-SLP |
| Practice Address |
3630 Northbrook Dr Ste D Northport AL 35473-5804 |
| Mailing Address |
3100 Guilford Rd Mountain Brk AL 35223-1217 |
| Practice Telephone | 2052469345 |
| Practice Fax Number | 9498625156 |
| Mailing Telephone | 2059369893 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 200081 | AL | Speech, Language and Hearing Service Providers |
| Street Address |
3630 NORTHBROOK DR STE D |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| 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 |
|---|---|---|---|---|
| 1740745488 | Olivia G Gorman | Speech-Language Pathologist | 96 Stanton St, Northport, NY 11768-1631 | 2019-02-06 |
| 1265924658 | Avery Morgan Elkins | Speech-Language Pathologist | 2631 Lily Way, Northport, AL 35473-1775 | 2018-06-01 |
| 1760980403 | Mary K Reynolds Gilmore | Speech-Language Pathologist | 19 Clipper Dr, Northport, NY 11768-1549 | 2018-01-29 |
| 1457898108 | Flower Pie Speech, Language, and Reading Therapy | Speech-Language Pathologist | 207 Brookside Dr, Northport, AL 35473-2738 | 2017-01-19 |
| 1457808610 | Kathleen Mary Loprieno | Speech-Language Pathologist | 14 Josephine Ct, Northport, NY 11768-3016 | 2016-09-06 |
| 1184088213 | Jennifer Reali-tzimas | Speech-Language Pathologist | 110 Stanton St, Northport, NY 11768-1632 | 2016-04-05 |
| 1801298252 | Kasey Macpherson | Speech-Language Pathologist | 154 Laurel Hill Rd, Northport, NY 11768-3456 | 2014-09-17 |
| 1336540558 | Julie Pollard | Speech-Language Pathologist | 8 Meadow Pl, Northport, NY 11768-1226 | 2014-09-08 |
| 1801168430 | Barbara Biggin Ketay | Speech-Language Pathologist | 8 Crestfield Pl, Northport, NY 11768-2031 | 2012-01-27 |
| 1689942864 | Sharon Patricia Littman | Speech-Language Pathologist | 173 Highland Ave, Northport, NY 11768-1643 | 2011-12-02 |
| Find all providers in NORTHPORT | ||||
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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.