KIMBERLY A. ZAJAC (NPI# 1093785073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093785073 |
| Entity Type | Individual |
| Full Name | KIMBERLY A. ZAJAC |
| Credential | CCC-SLP/A |
| Practice Address |
1250 Hancock St Quincy MA 02169-4339 |
| Practice Telephone | 6177740750 |
| Mailing Telephone | 6177740750 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2009-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 605 | MA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 4685 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FALLON COMMUNITY HEALTH PLAN | 1093785073 | 01 | |
| MA | 0310191 | 05 | |
| MA | NEIGHBORHOOD HEALTH PLAN | 0014867 | 01 |
| AETNA | 7542869 | 01 | |
| MA | BLUE CROSS | SP0085 | 01 |
| MA | HARVARD PILGRIM | PJ198 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477193522 | Kimberly Ann Zajac | Counselor | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-01-07 |
| Street Address |
1250 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683276 | Mirza Baig | Internal Medicine | 1250 Hancock St, Quincy, MA 02169-4339 | 2005-07-18 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| 1700320686 | Jillian Fiori | Speech-Language Pathologist | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-12-12 |
| 1740734623 | Megan Flicker | Registered Nurse | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-08-09 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1104206861 | Juan Qu | Optometrist | 1250 Hancock St, Quincy, MA 02169 | 2015-06-08 |
| 1568877447 | Dermcare Experts LLC | Dermatology | 1250 Hancock St, Suite 505s, Quincy, MA 02169-4339 | 2014-06-30 |
| 1104266154 | Aviva S. Wilcox | Psychologist | 1250 Hancock St, Harvard Vanguard Medical Associates - Behavioral Health, Quincy, MA 02169-4339 | 2013-07-03 |
| 1659636496 | William Eugene Fitzgerald | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-07-09 |
| 1467713602 | Erica Thrower | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1457952525 | Michaela Cataldo | Speech-Language Pathologist | 169 Beale St, Quincy, MA 02170-3340 | 2020-11-05 |
| 1700376142 | Mary Claire Wofford | Speech-Language Pathologist | 101 N Madison St, Quincy, FL 32351-2410 | 2018-05-11 |
| 1659898260 | Samantha Haley | Speech-Language Pathologist | 1373 Janelle Ln, Quincy, IL 62305-0196 | 2017-08-24 |
| 1528509775 | Alyson Louise Shaheen | Speech-Language Pathologist | 6 Fallon Ct, Quincy, MA 02169-4155 | 2017-03-20 |
| 1861876559 | Teresa Iva Douglas | Speech-Language Pathologist | 4515 Quail Creek Dr, Quincy, IL 62305-8800 | 2015-07-13 |
| 1538576368 | Meaghan Anne Sullivan | Speech-Language Pathologist | 23 Chestnut Way, Apt. 512, Quincy, MA 02169 | 2014-07-14 |
| 1457690455 | North Florida Therapy Services, Inc. | Speech-Language Pathologist | 104 E Washington St Ste 1a, Quincy, FL 32351-2461 | 2013-02-11 |
| 1104196088 | Trisha M. Hilgenbrinck | Speech-Language Pathologist | 2450 College Ave, Quincy, IL 62301-3528 | 2012-01-09 |
| 1588932198 | Nicole Lyons | Speech-Language Pathologist | 214 N 25th St, Quincy, IL 62301-3203 | 2011-12-09 |
| 1649554783 | Rebecca Lee Traver | Speech-Language Pathologist | 16 Moon Island Rd, Quincy, MA 02171-1034 | 2011-10-07 |
| Find all providers in QUINCY | ||||
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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.