JENNIFER KHAYUMOV (NPI# 1053925115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053925115 |
| Entity Type | Individual |
| Full Name | JENNIFER KHAYUMOV |
| Credential | MA |
| Practice Address |
15220 11th Ave Whitestone NY 11357-1999 |
| Mailing Address |
19831 51st Ave Fresh Meadows NY 11365-1341 |
| Practice Telephone | 7187678810 |
| Mailing Telephone | 7185305413 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 030022-01 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
15220 11TH AVE |
| City | WHITESTONE |
| State | NY |
| Zip Code | 11357-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841444320 | Christina Lynn Martinez | Physical Therapist | 15220 11th Ave, Whitestone, NY 11357-1936 | 2008-11-10 |
| 1376854984 | Farrah H Kramer | Speech-Language Pathologist | 15220 11th Ave, Whitestone, NY 11357-1936 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695438 | Christina Alvarez | Physician Assistant | 14704 8th Avenue, Whitestone, NY 11357 | 2020-10-06 |
| 1265047559 | Caitlin M Burke | Speech-Language Pathologist | 12-10 150th St, Whitestone, NY 11357 | 2020-09-13 |
| 1013548007 | Christina Nichole De Vito | Student in an Organized Health Care Education/Training Program | 15-50 14th Road, Whitestone, NY 11357 | 2020-01-29 |
| 1669956876 | Core Physical Therapy of Queens PC | Physical Therapist | 150-47b 14th Ave, Whitestone, NY 11357 | 2018-09-24 |
| 1356832307 | Nerlande A Hjardemaal | Registered Nurse | 14201 20th Ave, Flushing, NY 11357 | 2018-05-25 |
| 1114443504 | Dorothya O Thompson | Case Manager/Care Coordinator | 152-53 10th Ave, Whitestone, NY 11357 | 2017-08-17 |
| 1124540794 | Gaelle Anta Fall-koffi | Case Manager/Care Coordinator | 152-53, 10th Avenue, Suite 201, Whitestone, NY 11357 | 2017-07-14 |
| 1841729209 | Charlene Underwood | Case Management | 152-53-10th Ave, Whitestone, NY 11357 | 2017-06-08 |
| 1356880892 | Lindsay Ingenito | Student in an Organized Health Care Education/Training Program | 14203 20th Ave, Flushing, NY 11357 | 2017-02-16 |
| 1952756389 | Whiyie Alfonso Sang | Student in an Organized Health Care Education/Training Program | 154-65 10th Ave, New York, NY 11357 | 2016-05-04 |
| Find all providers in zip 11357 | ||||
| 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 |
|---|---|---|---|---|
| 1265047559 | Caitlin M Burke | Speech-Language Pathologist | 12-10 150th St, Whitestone, NY 11357 | 2020-09-13 |
| 1639793045 | Carina Cheri Rostant | Speech-Language Pathologist | 15050 14th Rd # 11357, Whitestone, NY 11357-2609 | 2020-06-01 |
| 1942841549 | Alexa Diana Kane | Speech-Language Pathologist | 16624 24th Rd, Whitestone, NY 11357-4014 | 2019-10-04 |
| 1487203097 | Lisa Marguerite Goepfert | Speech-Language Pathologist | 14727 15th Drive, Whitestone, NY 11357-2599 | 2019-09-06 |
| 1245605963 | Aimee Liguori | Speech-Language Pathologist | 14606 23rd Ave, First Floor, Whitestone, NY 11357-3514 | 2015-12-07 |
| 1770954976 | Paraskevi Panagides | Speech-Language Pathologist | 14827 9th Ave, Whitestone, NY 11357-1629 | 2015-10-13 |
| 1023426053 | Keovmorkodh Chhuon | Speech-Language Pathologist | 150-50 14th Road, Whitestone, NY 11357 | 2014-07-22 |
| 1497160956 | Paulianthi Georgoulis | Speech-Language Pathologist | 151-32 19th Avenue, Whitestone, NY 11357 | 2014-06-24 |
| 1194150144 | Monica Pombo | Speech-Language Pathologist | 15015 14th Rd, Whitestone, NY 11357-2610 | 2013-09-10 |
| 1639430127 | Sharlene Nichols | Speech-Language Pathologist | 150-51a 14th Avenue, Whitestone, NY 11357 | 2012-05-31 |
| Find all providers in WHITESTONE | ||||
| City | WHITESTONE |
| Zip Code | 11357 |
Please comment or provide details below to improve the information on JENNIFER KHAYUMOV.
| 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.