DEBORAH PAAS BLACKBURN (NPI# 1982821468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982821468 |
| Entity Type | Individual |
| Full Name | DEBORAH PAAS BLACKBURN |
| Credential | MS CCC-SLP |
| Practice Address |
15322 Goose Creek Road Prairie Grove AR 72753 |
| Practice Telephone | 4795304693 |
| Mailing Telephone | 4795304693 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 524 | AR | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740408806 | Deborah L. Blackburn | Marriage & Family Therapist | 1425 Leimert Blvd, Suite 200, Oakland, CA 94602-1808 | 2007-04-23 |
| 1265445431 | Deborah Webb Blackburn | Psychologist | 9376 Atlee Station Rd, Hanover Family Physicians PC, Mechanicsville, VA 23116 | 2006-08-15 |
| Street Address |
15322 GOOSE CREEK ROAD |
| City | PRAIRIE GROVE |
| State | AR |
| Zip Code | 72753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1083742928 | Brad Green | Dentist | 401 E Buchanan, Box 288, Prairie Grove, AR 72753 | 2007-03-01 |
| 1649332511 | Sterling Drug Company | Pharmacy | 125 E. Buchanan Street, Prairie Grove, AR 72753 | 2006-12-15 |
| 1811911100 | Andrew Thomas Bain | Dentist | 128 N Mock St, Prairie Grove, AR 72753 | 2006-07-27 |
| 1457548935 | Brad H Green Dds Pa | Dentist | 401 E Buchanan, Prairie Grove, AR 72753 | 2007-09-28 |
| 1376572800 | Ron D Lee | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-30 |
| 1376589754 | Christian G Blankers | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-22 |
| 1801350137 | Kacee Bodiford | Nurse Practitioner | 3150 E. Heritage Pwy, Prairie Grove, AR 72753-0000 | 2019-01-31 |
| 1164819330 | Tracy Houston | Specialist/Technologist | 500 Cole Dr, Prairie Grove, AR 72753-2509 | 2015-04-24 |
| 1205846813 | Marie Chantale Crosse | Nurse Practitioner | 801 Viney Grove Rd, Prairie Grove, AR 72753-2623 | 2006-08-08 |
| Find all providers in zip 72753 | ||||
| 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 |
|---|---|---|---|---|
| 1801137237 | Mylena Jo Noble | Speech-Language Pathologist | 11071 Rosebay Ln, Prairie Grove, AR 72753-8322 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768429 | Taylor Weston | Speech-Language Pathologist | 13 Bobwith Ln, Bella Vista, AR 72714-3903 | 2020-10-21 |
| 1508464454 | Caitlin Ketcher | Speech-Language Pathologist | 2 Country Club Cir, Maumelle, AR 72113-6578 | 2020-10-13 |
| 1487252706 | Janice H Mccullough | Speech-Language Pathologist | 2721 Highland Cir, Rogers, AR 72756-3113 | 2020-10-09 |
| 1447857768 | Susan Davis Phillips | Speech-Language Pathologist | 519 Latham Dr Fl 2, Lowell, AR 72745-8360 | 2020-10-08 |
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1922619626 | Kadee Cash | Speech-Language Pathologist | 6570 Highway 63, Rison, AR 71665-8827 | 2020-08-14 |
| 1801407846 | Allison Walker Griffin | Speech-Language Pathologist | 601 S Martin Luther King Jr Blvd, El Dorado, AR 71730-7173 | 2020-08-13 |
| 1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
| 1740891035 | Kaitlin Tate Hill | Speech-Language Pathologist | 21 Mattie Lene Dr, Ward, AR 72176-8752 | 2020-08-11 |
| 1477163871 | Bailey Kennedy | Speech-Language Pathologist | 1008 E Oak St, Conway, AR 72032-4726 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE GROVE |
| Zip Code | 72753 |
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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.