CAMERON RAY CARLISLE (NPI# 1801040266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801040266 |
| Entity Type | Individual |
| Full Name | CAMERON RAY CARLISLE |
| Credential | MS, CCC-SLP |
| Practice Address |
11517 Kanis Rd Little Rock AR 72211-3724 |
| Mailing Address |
8 Cherry Creek Cv Little Rock AR 72212-2005 |
| Practice Telephone | 5019937171 |
| Practice Fax Number | 5012238075 |
| Mailing Telephone | 5012277372 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1846 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 148300721 | 05 |
| Street Address |
11517 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275664708 | Amy Melissa Graves | Contractor | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2007-03-08 |
| 1760758585 | Kristen Givens King | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2012-03-26 |
| 1003190562 | Marcia Roles Bingham | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2011-10-03 |
| 1831409283 | Amanda Brook Johnson | Specialist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2010-10-19 |
| 1649586363 | Connie Blasingame Bracy | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2010-08-19 |
| 1871735845 | Suzanne Roberson Mcclendon | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2009-04-06 |
| 1285885426 | Mae Lynn Smithwick | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-10-07 |
| 1548426034 | Lyndal Green | Contractor | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-08-04 |
| 1700042793 | Mildred R Whitley | Contractor | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-07-30 |
| 1619142361 | Greta A Hale | Speech-Language Pathologist | 11517 Kanis Rd, Little Rock, AR 72211-3724 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| 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 |
|---|---|---|---|---|
| 1750922159 | Kelsey Hays | Speech-Language Pathologist | 10800 Mara Lynn Rd, Little Rock, AR 72211-2699 | 2019-10-07 |
| 1831746619 | Kara Quinton | Speech-Language Pathologist | 10310 W Markham St Ste 210, Little Rock, AR 72205-1579 | 2019-08-26 |
| 1639723265 | Henrietta Vernell Dagher | Speech-Language Pathologist | 54 Epernay Cir, Little Rock, AR 72223-5527 | 2019-07-31 |
| 1235793902 | Megan Porter | Speech-Language Pathologist | 16607 Cantrell Rd Ste 6, Little Rock, AR 72223-4827 | 2019-04-27 |
| 1649741877 | Kaitlyn Shae Thompson | Speech-Language Pathologist | 400 Shall St, Little Rock, AR 72202-2730 | 2018-12-16 |
| 1407336944 | Hannah Institute Therapy | Speech-Language Pathologist | 9701 West Markham, Little Rock, AR 72205 | 2018-08-15 |
| 1245721083 | Hannah Educational Resources & Evaluations | Speech-Language Pathologist | 9701 W Markham St, Little Rock, AR 72205-2123 | 2018-05-29 |
| 1174055099 | Busy Bees Pediatric Therapy Services, Inc. | Speech-Language Pathologist | 1517 Loyola Dr, Little Rock, AR 72211-6122 | 2017-03-30 |
| 1154861516 | Natalie Newkirk Welchman | Speech-Language Pathologist | 4301 W Markham St. Slot 621-1, Little Rock, AR 72205-7101 | 2017-03-06 |
| 1528503877 | Meagan Rosel | Speech-Language Pathologist | 1401 Labelle Dr, Little Rock, AR 72204-2315 | 2016-12-22 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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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.