LINDA SUE SICKMAN (NPI# 1013274497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013274497 |
| Entity Type | Individual |
| Full Name | LINDA SUE SICKMAN |
| Credential | PH.D., CCC-SLP |
| Practice Address |
1717 Maplecrest Rd Fort Wayne IN 46815-7656 |
| Mailing Address |
4906 Fall Brook Ln Fort Wayne IN 46835-9331 |
| Practice Telephone | 2604930012 |
| Mailing Telephone | 2604584055 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22002795A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
1717 MAPLECREST RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-7656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947339 | Cherri Lynn Marcum | Occupational Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2019-05-19 |
| 1891350054 | Genelle Mull | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2019-05-03 |
| 1609430941 | Maria Catherine Oliver | Occupational Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2019-04-23 |
| 1730694779 | Brian Thomas Kreager | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2017-12-13 |
| 1275080350 | Numan Saleem | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt # 112, Fort Wayne, IN 46815-7656 | 2016-09-06 |
| 1548640931 | Amy Chappell | Occupational Therapist | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2015-06-01 |
| 1457746893 | Grace Lencke | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2015-04-02 |
| 1679998900 | Legacy Healthcare Services, Inc | Occupational Therapist | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2014-02-24 |
| 1881020204 | Amanda Welker | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| 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 |
|---|---|---|---|---|
| 1477110674 | Ronalee Marie Rasmussen | Speech-Language Pathologist | 2831 Settlement Creek Run, Fort Wayne, IN 46804-6077 | 2019-05-22 |
| 1962964064 | Mary Richardson | Speech-Language Pathologist | 5930 Hallowell Pl, Fort Wayne, IN 46815-6214 | 2019-04-05 |
| 1528525490 | Katharine Gregg | Speech-Language Pathologist | 2006 Edith Ave, Fort Wayne, IN 46808-2288 | 2019-02-26 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1710409933 | Jacqueline Brooks | Speech-Language Pathologist | 7902 Crosshill Ct, Fort Wayne, IN 46825-3191 | 2017-07-10 |
| 1427503242 | Nicole Altherr | Speech-Language Pathologist | 5601 Coventry Lane, Fort Wayne, IN 46804-5435 | 2016-08-22 |
| 1104295021 | Courtney A Miller | Speech-Language Pathologist | 2427 Maples Rd, Fort Wayne, IN 46816-2427 | 2015-09-21 |
| 1326462441 | Mariela Ramos-hernandez | Speech-Language Pathologist | 9426 Lima Rd Ste A, Fort Wayne, IN 46818-8681 | 2014-02-10 |
| 1487097804 | Abby Crouse | Speech-Language Pathologist | 804 Owls Pt, Fort Wayne, IN 46825-2854 | 2013-04-16 |
| 1245576511 | Angela K Baxter | Speech-Language Pathologist | 6126 Groveland Dr, Fort Wayne, IN 46835-3715 | 2012-12-14 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
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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.