MRS. KIMBERLY DIANE PEPPLER (NPI# 1063938702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063938702 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY DIANE PEPPLER |
Credential | CCC-SLP |
Practice Address |
1017 W Fletcher St Vandalia IL 62471-1007 |
Mailing Address |
113 Sunset Pt Greenville IL 62246-1031 |
Practice Telephone | 6182835166 |
Mailing Telephone | 6186640197 |
Enumeration Date | 2017-08-15 |
Last Update Date | 2017-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 146.006659 | IL | Speech, Language and Hearing Service Providers |
Street Address |
1017 W FLETCHER ST |
City | VANDALIA |
State | IL |
Zip Code | 62471-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225554959 | Anita Sue Lidy | Speech-Language Pathologist | 1017 W Fletcher St, Vandalia, IL 62471-1007 | 2017-08-15 |
1285143107 | Tamara L Siebert | Speech-Language Pathologist | 1017 W Fletcher St, Vandalia, IL 62471-1007 | 2017-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
Find all providers in zip 62471 |
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 |
---|---|---|---|---|
1982211868 | Sheila Dean | Speech-Language Pathologist | 500 S Dixie Dr, Vandalia, OH 45377-2544 | 2020-09-25 |
1225554959 | Anita Sue Lidy | Speech-Language Pathologist | 1017 W Fletcher St, Vandalia, IL 62471-1007 | 2017-08-15 |
1538515697 | Nancy Renee Copeland | Speech-Language Pathologist | 1010 E National Rd, Vandalia, OH 45377-3204 | 2016-05-09 |
1144548678 | Elizabeth M Stiffler | Speech-Language Pathologist | 611 Randler Ave, Vandalia, OH 45377-1406 | 2010-05-07 |
1124281662 | Linda Fay Witte | Speech-Language Pathologist | 46232 Highway V, Vandalia, MO 63382-3808 | 2008-07-03 |
1316072903 | Lisa Jean Wise | Speech-Language Pathologist | 2200 W Highway 54, Van-far R-1 School District, Vandalia, MO 63382-1130 | 2007-02-22 |
1801945720 | Jessica Satterthwaite | Speech-Language Pathologist | Rr 1 Box 385a, Vandalia, IL 62471-9794 | 2007-01-09 |
1508925280 | Jody L. Horner | Speech-Language Pathologist | 2122 Audrain Road, Vandalia, MO 63882 | 2006-12-08 |
1285143107 | Tamara L Siebert | Speech-Language Pathologist | 1017 W Fletcher St, Vandalia, IL 62471-1007 | 2017-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
1194326363 | Cheryl Clemens | Speech-Language Pathologist | 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 | 2020-11-04 |
1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
1942809231 | Progress To Success Speech Therapy Pllc | Speech-Language Pathologist | 4940 Wilderness Pt, Smithton, IL 62285-3664 | 2020-10-19 |
1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
1295332617 | Rachel Raffalo | Speech-Language Pathologist | 1050 S Euclid Ave, Elmhurst, IL 60126-5169 | 2020-10-08 |
1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
1255938908 | Norma Laura Gregorio-perez | Speech-Language Pathologist | 1601 E Main St # G, St Charles, IL 60174-2431 | 2020-10-06 |
1073110227 | Erin Koester | Speech-Language Pathologist | 633 County Highway 22, Cowden, IL 62422-4104 | 2020-10-01 |
1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
Find all providers with the same taxonomy |
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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.