REBECCA KICKHAM


Address: 910 N Jefferson St, Jacksonville, FL 32209-6810
Phone: 9043607022

REBECCA KICKHAM (NPI# 1124473509) 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) 1124473509
Entity Type Individual
Full Name REBECCA KICKHAM
Practice Address 910 N Jefferson St
Jacksonville
FL 32209-6810
Practice Telephone 9043607022
Practice Fax Number 9047984544
Mailing Telephone 9043607022
Mailing Fax Number 9047984544
Enumeration Date 2016-05-04
Last Update Date 2019-01-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA12021 FL Speech, Language and Hearing Service Providers
N 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 910 N JEFFERSON ST
City JACKSONVILLE
State FL
Zip Code 32209-6810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538129002 Managed Access To Child Health Inc Case Management 910 N Jefferson St, Jacksonville, FL 32209-6810 2006-03-27
1205467230 Isabella M Hower Occupational Therapist 910 N Jefferson St, Jacksonville, FL 32209-6810 2020-01-29
1053808907 Franchescka Kephart Social Worker 910 N Jefferson St, Jacksonville, FL 32209-6810 2018-04-17
1144717083 Brandie Crawley Social Worker 910 N Jefferson St, Jacksonville, FL 32209-6810 2018-04-17
1992216055 Cristina Solimeno Physical Therapist 910 N Jefferson St, Jacksonville, FL 32209-6810 2017-10-17
1083135248 Yesenia Ivette Moss Case Manager/Care Coordinator 910 N Jefferson St, Jacksonville, FL 32209-6810 2017-06-28
1760903983 John Roberts Case Manager/Care Coordinator 910 N Jefferson St, Jacksonville, FL 32209-6810 2017-06-28
1184084576 Kaitlin Dudziec Occupational Therapist 910 N Jefferson St, Jacksonville, FL 32209-6810 2016-02-29
1538527999 Anthony Cogdell Social Worker 910 N Jefferson St, Jacksonville, FL 32209-6810 2016-02-01
1740650399 Vera Bowers Case Manager/Care Coordinator 910 N Jefferson St, Jacksonville, FL 32209-6810 2015-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710506183 Hayley M Shade Student in an Organized Health Care Education/Training Program 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 2020-04-15
1407484629 Micah Christine Turpeau Student in an Organized Health Care Education/Training Program 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 2020-04-01
1730716366 Nikki Javia Student in an Organized Health Care Education/Training Program 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 2020-03-24
1336776061 Samuel Kamoroff Student in an Organized Health Care Education/Training Program 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 2020-03-24
1376194092 Donald Wayne Johnson Jr. Pharmacist Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 2019-09-24
1871141838 Anton Daran Armstrong Counselor 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 2019-09-03
1295296499 Christian King Student in an Organized Health Care Education/Training Program 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 2019-03-29
1013478403 David William Barton Orthopaedic Surgery 655 W 8th St, Box C-126, Jacksonville, FL 32209 2019-03-27
1912497108 Lisa Jordan Adult Companion 1515 W 31st St, Jacksonville, FL 32209 2018-05-14
1275020968 Eloisa Anne Ello-esma Nurse Practitioner W. 8th Street, Jacksonville, FL 32209 2018-04-18
Find all providers in zip 32209

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 city

NPI Name Taxonomy Address Enumeration
1245848514 Danielle Huckaba Speech-Language Pathologist 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 2020-07-22
1699392209 Paige E Searcy Speech-Language Pathologist 907 Greenridge Rd, Jacksonville, FL 32207-5251 2020-06-30
1568086619 Carmen Schneider Speech-Language Pathologist 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 2020-06-04
1730702713 Jennifer Horn Debardeleben Speech-Language Pathologist 2101 W Palm Ave, Jacksonville, FL 32254-1734 2020-05-25
1508485509 Growing Voices Therapies, LLC Speech-Language Pathologist 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 2020-04-10
1215561352 Lori Connon Speech-Language Pathologist 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 2020-02-27
1922631779 Homegrown Communication-slp, LLC Speech-Language Pathologist 5163 Shirley Ave, Jacksonville, FL 32210-3145 2020-02-20
1194357517 Lauren Lynne Blunk Speech-Language Pathologist 1010 N Davis St, Jacksonville, FL 32209-6824 2020-02-05
1669018255 Ying Dong Speech-Language Pathologist 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 2019-11-19
1710543764 Lesley Nicole Summers Speech-Language Pathologist 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 2019-05-15
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32209

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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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