MACKENZIE NUNNALLY (NPI# 1760005409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760005409 |
| Entity Type | Individual |
| Full Name | MACKENZIE NUNNALLY |
| Credential | SLP |
| Practice Address |
3501 Festival Park Plz Chester VA 23831-4449 |
| Mailing Address |
1377 Motor Pkwy Ste 307 Islandia NY 11749-5258 |
| Practice Telephone | 8049308280 |
| Practice Fax Number | 8049308101 |
| Mailing Telephone | 6315805200 |
| Mailing Fax Number | 6315805222 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2204000512 | VA | Speech, Language and Hearing Service Providers |
| Street Address |
3501 FESTIVAL PARK PLZ |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003853 | Carly C Westbrook | Emergency Medicine | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2016-10-10 |
| 1649877341 | Jamielynn M Bodman | Occupational Therapist | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2020-10-06 |
| 1447878954 | Amara A Lim | Physical Therapist | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2020-07-10 |
| 1588280465 | Olivia Meyers | Occupational Therapist | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2020-06-17 |
| 1871146324 | Andrew Bennett Smith | Physical Therapist | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2019-07-23 |
| 1285286773 | Tatum Davis | Physical Therapist | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2019-07-15 |
| 1326600347 | Tia J Javier | Speech-Language Pathologist | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2019-06-29 |
| 1770043549 | Lauren Montgomery | Occupational Therapist | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2019-03-20 |
| 1174014559 | Ivyrehab Sept, LLC | Physical Medicine & Rehabilitation | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| 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 |
|---|---|---|---|---|
| 1740836998 | Kacey Search | Speech-Language Pathologist | 650 Opdyke St, Chester, IL 62233-1419 | 2019-08-14 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1467944363 | Rebekah De La Paz | Speech-Language Pathologist | 2507 Chestnut St # Sr, Chester, PA 19013-4841 | 2018-06-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1154862704 | Nicole L Yurek | Speech-Language Pathologist | 79 N Pond Rd, Chester, NH 03036-4027 | 2017-03-15 |
| 1295280501 | Phyllis Koren | Speech-Language Pathologist | 12101 Middlecoff Dr, Chester, VA 23836-2692 | 2016-08-17 |
| 1437408614 | Anne P Lamb | Speech-Language Pathologist | 1930 Reservoire Road, Chester, VT 05143 | 2012-09-05 |
| 1649541103 | Shatika Nicole Kelley | Speech-Language Pathologist | 5814 Quiet Pine Cir, Apt 202, Chester, VA 23831-7883 | 2012-01-15 |
| 1275862765 | Megan Seidner | Speech-Language Pathologist | 154 Lower Bartonsville Rd, Chester, VT 05143-8792 | 2009-12-14 |
| 1578704904 | Doris Bright | Speech-Language Pathologist | 516 Shop Ln, Chester, SC 29706-5197 | 2009-03-15 |
| Find all providers in CHESTER | ||||
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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.