KAITLYN NICOLE COSTNER (NPI# 1124504303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124504303 |
| Entity Type | Individual |
| Full Name | KAITLYN NICOLE COSTNER |
| Credential | M.S, CF-SLP |
| Practice Address |
400 Johnson Ridge Medical Park Elkin NC 28621 |
| Mailing Address |
180 Parkwood Dr Elkin NC 28621-2430 |
| Practice Telephone | 3368350303 |
| Practice Fax Number | 3365264548 |
| Mailing Telephone | 3365277000 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1903042 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
400 JOHNSON RIDGE MEDICAL PARK |
| City | ELKIN |
| State | NC |
| Zip Code | 28621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013893 | Courtenay Salisbury Whitman Iv | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2005-06-16 |
| 1396362133 | Asha B Thomas | Occupational Therapist | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2020-06-27 |
| 1346885803 | Linda Xiong | Occupational Therapist | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2019-11-08 |
| 1780239079 | Anthony Curtis Gaither | Physical Therapist | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2019-08-05 |
| 1417469867 | Patricia Coe Hoosier | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2017-10-25 |
| 1275812273 | Hugh Chatham Memorial Hospital, Inc | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2011-08-08 |
| 1376863456 | Johnathan Jack Whitaker | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2010-06-11 |
| 1225205818 | Jonathan Reich Snyder | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2008-05-13 |
| 1760441711 | Tri-county Orthopedic & Sports Medicine, Pa | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2006-03-20 |
| 1861487605 | Marc Sheldon Stevens | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2005-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
| 1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
| 1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
| 1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
| 1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
| 1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
| 1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
| 1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
| 1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
| 1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
| Find all providers in zip 28621 | ||||
| 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 |
|---|---|---|---|---|
| 1194859298 | Brooke Patterson Johnson | Speech-Language Pathologist | 700 Chatham Medical Park, Elkin, NC 28621-2483 | 2007-03-14 |
| 1649367996 | Sandie Barrie Blackley | Speech-Language Pathologist | 188 Claremont Dr, Elkin, NC 28621-2414 | 2006-10-06 |
| 1548653355 | Sarah Elizabeth Wilkinson | Speech-Language Pathologist | 700 Johnson Ridge Rd, Elkin, NC 28621-2424 | 2015-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366114 | Sisters In Speech, PC | Speech-Language Pathologist | 66 Pewee Ln, Waynesville, NC 28786-8069 | 2020-11-02 |
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1528667714 | Evans Avt Pllc | Speech-Language Pathologist | 8 Brynhurst Ct, Durham, NC 27713-9357 | 2020-10-20 |
| 1467050443 | Speech Therapy & Allied Resources, Pllc | Speech-Language Pathologist | 1105 Englewood Ave, Durham, NC 27701-1125 | 2020-10-13 |
| 1568069508 | Roots and Wings Speech and Language Services, Pllc | Speech-Language Pathologist | 2005 Lodestar Dr, Raleigh, NC 27615-2520 | 2020-10-02 |
| 1194332312 | Lindsay M Austin | Speech-Language Pathologist | 141 Terrace Ln Apt 1205, Boone, NC 28607-5380 | 2020-09-30 |
| 1285241679 | Rebecca Latterman | Speech-Language Pathologist | 1085 Richmond Park Dr, Winston Salem, NC 27103-5384 | 2020-09-29 |
| 1467069195 | Speech Tx | Speech-Language Pathologist | 2649 Cypress Oak Ln, Gastonia, NC 28056-0018 | 2020-09-27 |
| 1700493509 | John Wilson Irwin | Speech-Language Pathologist | 19 Saint James Ct, Durham, NC 27713-9408 | 2020-09-25 |
| 1972119048 | Savikaluck Risza Konkankit | Speech-Language Pathologist | 1010 Stillwell Dr Unit 2401, Durham, NC 27707-6279 | 2020-09-23 |
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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.