Fawn Geels, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#2286 Issued in AR

Practice address

295 Southwick CV
Conway, AR 72034-5514

Phone

(501) 472-0599

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Therapy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1487867040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SOUTHWICK CV",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345514",
            "telephone_number": "501-472-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SOUTHWICK CV",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345514",
            "telephone_number": "501-472-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEELS",
        "first_name": "FAWN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159249721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORNERSTONE",
            "last_name": "THERAPY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasmine Gaston-Jackson, APRN
• Robin Gattis, M.S.,CCC
• Morgan Gatto
• Mary Gay
• Craig Geans, RECOVERY ASSISTANT
• Generational Health of Arkansas
• Gentle Hearts Personal Care Agency LLC
• Katie P George, RECOVERY ASSISTANT
• Julie Marie Gerlinger, MSN, RN, CMSRN
• Madeline Grace Getz

• Speech-Language Pathologist in Conway, AR
• Providers in Conway, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.