NICHOLE M. MATHIS (NPI# 1053368274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053368274 |
| Entity Type | Individual |
| Full Name | NICHOLE M. MATHIS |
| Credential | M.S., CCC-SLP |
| Practice Address |
940 N Jefferson Ave Springfield MO 65802-3718 |
| Practice Telephone | 4175231000 |
| Practice Fax Number | 4175237595 |
| Mailing Telephone | 4175231000 |
| Mailing Fax Number | 4175237595 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2004007000 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801317276 | Nichole Lyn Mathis | Marriage & Family Therapist | 3002 Armstrong St, San Diego, CA 92111-5702 | 2017-07-06 |
| 1568754463 | Nichole Mathis | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2011-05-10 |
| Street Address |
940 N JEFFERSON AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801941299 | Rhonda Reynolds | Speech-Language Pathologist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2007-01-24 |
| 1689723835 | Kristeena Ruth Whaley | Speech-Language Pathologist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2007-01-09 |
| 1689739500 | Betsy Jean Dougherty | Speech-Language Pathologist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2006-12-22 |
| 1790844579 | Lamont L. Clark | Speech-Language Pathologist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2006-12-07 |
| 1811062490 | Jason Steingraber | Speech-Language Pathologist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2006-11-21 |
| 1558434019 | Vikki R Hockett | Occupational Therapist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2006-11-15 |
| 1376616839 | Cynthia Lea Johnson | Physical Therapist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2006-11-15 |
| 1285707745 | Janet Carol Mhire | Occupational Therapist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2006-11-15 |
| 1033280730 | Christy Ann Page | Speech-Language Pathologist | 940 N Jefferson Ave, Springfield, MO 65802-3718 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| 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 |
|---|---|---|---|---|
| 1023623105 | Heather Dugas | Speech-Language Pathologist | 25190 Blood River Road, Springfield, LA 70462 | 2020-09-15 |
| 1871107003 | Paige Marie Steer | Speech-Language Pathologist | 531 W Harding Rd, Springfield, OH 45504-1708 | 2020-09-04 |
| 1578173241 | Kelley Hickman | Speech-Language Pathologist | 897 S 55th Pl, Springfield, OR 97478-6978 | 2020-08-06 |
| 1639792740 | Lindsay Anne Douglas | Speech-Language Pathologist | 3050 S National Ave Ste 106, Springfield, MO 65804-4242 | 2020-05-22 |
| 1770106320 | Jeanette Spirides | Speech-Language Pathologist | 7811 Jansen Dr, Springfield, VA 22152-2423 | 2020-05-18 |
| 1346862505 | Elisabeth Amy Mlawski | Speech-Language Pathologist | 16 Elmwood Rd, Springfield, NJ 07081-2419 | 2020-05-11 |
| 1720623929 | Amber Dejianne | Speech-Language Pathologist | 100 Stone Hill Rd Apt J2, Springfield, NJ 07081-2126 | 2019-11-12 |
| 1558902775 | Stephanie L Mcbratney | Speech-Language Pathologist | 3510 E Whitehall Dr, Springfield, MO 65809-2135 | 2019-09-30 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1164071445 | Desiree Herring | Speech-Language Pathologist | 103 Runnymead Dr, Springfield, TN 37172-5730 | 2019-09-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
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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.