JUDY ANN CARROLL (NPI# 1134522543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134522543 |
| Entity Type | Individual |
| Full Name | JUDY ANN CARROLL |
| Credential | MS, CCC-SLP |
| Practice Address |
331 E Park St Weiser ID 83672-2053 |
| Practice Telephone | 2085492416 |
| Mailing Telephone | 2085492416 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 13567 | OR | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1178 | ID | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225449366 | Judy K Carroll | Occupational Therapist | 3063 Sweet Pine Dr, Melbourne, FL 32935-4587 | 2014-05-12 |
| 1841897733 | Judy Rae Carroll | Homemaker | 103 W 5th Ave, Ranson, WV 25438-1405 | 2020-10-05 |
| 1912086737 | Judy Carroll | Occupational Therapist | 444 S 44th St, Omaha, NE 68131-3727 | 2006-11-03 |
| Street Address |
331 E PARK ST |
| City | WEISER |
| State | ID |
| Zip Code | 83672-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558384420 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 331 E Park St, Weiser, ID 83672-2053 | 2006-07-25 |
| 1699255133 | Caren Shinayo Imada | Occupational Therapist | 331 E Park St, Weiser, ID 83672-2053 | 2018-08-15 |
| 1770062499 | Angela M Asp | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2018-08-13 |
| 1821509134 | Weiser of Cascadia, LLC | Skilled Nursing Facility | 331 E Park St, Weiser, ID 83672-2053 | 2017-10-13 |
| 1033542196 | William David Pentecost | Occupational Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1609209782 | Nerissa Marie Scott | Physical Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1235562307 | Kelly Anne Wagner | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1093147308 | Michael Lafferty | Physical Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-08 |
| 1922260850 | Carmal Suzanne Chrisman | Occupational Therapist | 331 E Park St, Weiser, ID 83672-2053 | 2008-07-01 |
| 1407018518 | Karen Rene Lockwood | Occupational Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2008-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1356630941 | Jordan V Blanchard | Family Medicine | 360 E. Liberty, Weiser, ID 83672 | 2011-04-04 |
| 1427038231 | Christopher Earl Malloy | Dentist | 1067 Hwy 95, Weiser, ID 83672 | 2006-01-18 |
| 1457508418 | Christy Earlean Marvin | Home Health Aide | 1111 E Main St, Weiser, ID 83672 | 2008-08-21 |
| 1255364030 | Weiser Valley Hospital District | Orthopaedic Surgery | 645 E. 5th St., Weiser, ID 83672 | 2006-07-07 |
| 1568685543 | Weiser School District #431 | Specialist | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2007-04-10 |
| 1275147712 | Madison Caldwell | Counselor | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2020-09-02 |
| 1588108872 | Laura Haun | Specialist/Technologist | 275 Mcginnis Dr, Weiser, ID 83672-1262 | 2016-12-06 |
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1164047635 | Bridget Moore | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| Find all providers in zip 83672 | ||||
| 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 |
|---|---|---|---|---|
| 1770062499 | Angela M Asp | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2018-08-13 |
| 1326475617 | Janice Elaine Grimaldo | Speech-Language Pathologist | 645 E 5th St, Weiser, ID 83672-2202 | 2013-10-01 |
| 1235562307 | Kelly Anne Wagner | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573809 | Jaclyn Christine Harmon | Speech-Language Pathologist | 8620 W Emerald St Ste 100, Boise, ID 83704-4838 | 2020-06-22 |
| 1760008262 | Northwest Pediatric Speech Therapy, LLC | Speech-Language Pathologist | 1130 W Hayden Ave Ste 103, Hayden, ID 83835-8720 | 2020-06-19 |
| 1659908481 | Communication Steps, LLC | Speech-Language Pathologist | 8875 Butte Rd, Sweet, ID 83670-5005 | 2020-03-23 |
| 1275170383 | Angela M Abbott | Speech-Language Pathologist | 79 N Plummer Rd, Star, ID 83669-5561 | 2019-12-09 |
| 1669016689 | Amy Ochs | Speech-Language Pathologist | 239 N Storybook Way, Eagle, ID 83616-4891 | 2019-11-01 |
| 1679114060 | Amy L Doughty | Speech-Language Pathologist | 25844 Old Spiral Hwy, Lewiston, ID 83501-5893 | 2019-10-07 |
| 1669020988 | Sierra Kamplain | Speech-Language Pathologist | 700 Riverfront Dr Rm 4, Salmon, ID 83467-5190 | 2019-08-29 |
| 1346896149 | Susan Kathryn Rauma | Speech-Language Pathologist | 3378 N 3300 E, Kimberly, ID 83341-5266 | 2019-08-16 |
| 1740834134 | Katelyn Smith | Speech-Language Pathologist | 829 S Washington Ave Ste C, Emmett, ID 83617-3528 | 2019-07-24 |
| 1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
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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.