KIMBERLY MILDER


Address: 401 Fremont St, Lena, IL 61048-8610
Phone: 8153693108

KIMBERLY MILDER (NPI# 1114446978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114446978
Entity Type Individual
Full Name KIMBERLY MILDER
Practice Address 401 Fremont St
Lena
IL 61048-8610
Practice Telephone 8153693108
Enumeration Date 2017-09-13
Last Update Date 2017-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146006279 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 401 FREMONT ST
City LENA
State IL
Zip Code 61048-8610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609027713 Lena Winslow 202 Local Education Agency (LEA) 401 Fremont St, Lena, IL 61048-8610 2008-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780295253 Midwest Modern Health Pllc Chiropractor 306 East Main Street, Lena, IL 61048 2020-08-10
1972574689 James T Liles Chiropractor 238 W Main St, Lena, IL 61048-0424 2006-01-30
1578677167 Patrick George Schleich Pharmacist 154 W. Main St., Lena, IL 61048-0666 2006-08-19
1336689322 St. John's Lutheran Church, Inc. Clinic/Center 311 N. Lake Rd., Lena, IL 61048-8712 2017-02-24
1134523657 Julio Delgadillo Registered Nurse 214 North Schuyler Street, Lena, IL 61048-8712 2014-10-13
1144684564 Bradley Brunner Chiropractor 214 Rousch St, Lena, IL 61048-8822 2016-04-12
1205132172 Tanya Marie Knoup Community Health Worker 8475 W Mound Rd, Lena, IL 61048-9016 2011-02-09
1891957874 Gordon Edward Dammann Dentist 123 W Railroad St, Lena, IL 61048-9038 2008-06-30
1073723714 Jon D Wolfe Dentist 123 W. Railroad St., Lena, IL 61048-9038 2007-05-23
1114337938 Leslie Filer Consulting LLC Nurse Practitioner 804 S Logan St, Lena, IL 61048-9244 2014-05-01
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City LENA
Zip Code 61048

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Dataset Information

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.

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