HEARTLAND WHOLE BRAIN LEARNING-PEDIATRIC & ADULT THERAPY LLC (NPI# 1164970448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164970448 |
| Entity Type | Organization |
| Organization Name | HEARTLAND WHOLE BRAIN LEARNING-PEDIATRIC & ADULT THERAPY LLC |
| Practice Address |
1239 Woodland Dr Elizabethtown KY 42701-2770 |
| Mailing Address |
109 Robinson Ct Elizabethtown KY 42701-9247 |
| Practice Telephone | 2704012737 |
| Practice Fax Number | 2709823670 |
| Mailing Telephone | 2704012737 |
| Mailing Fax Number | 2709823670 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | MRS. JOYCE ELAINE BEASLEY (SPEECH -LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 2709827246 |
| Authorized Official Credential | M.S.CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225100000X | Physical Therapist | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225X00000X | Occupational Therapist | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 235Z00000X | Speech-Language Pathologist | 142550 | KY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | TRICARE NORTH | 1366753980 | 01 |
| KY | 7100348760 | 05 |
| Street Address |
1239 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609858539 | Ijaz Mahmood | Internal Medicine | 1239 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2770 | 2005-11-16 |
| 1457992570 | Marinda Moore Schneider | Nurse Practitioner | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-09-30 |
| 1780246785 | Jordan Harrison | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-07-01 |
| 1700346665 | Tiffani Romayne Wallace | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-03-25 |
| 1881162428 | Kristina Marie Boshart | Behavioral Analyst | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2018-11-12 |
| 1598233132 | Sandrea L Patterson | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2018-11-12 |
| 1922443480 | Etown Family Practice Plc | Clinic/Center | 1239 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2770 | 2013-05-09 |
| 1114263100 | Wisdom Key Behavioral Health Services Inc | Nurse Practitioner | 1239 Woodland Dr, Suite 110, Elizabethtown, KY 42701-2770 | 2012-12-18 |
| 1609154442 | Ernest Lee Towns | Counselor | 1239 Woodland Dr, Suite 116, Elizabethtown, KY 42701-2770 | 2011-07-27 |
| 1780971846 | Sheryl L Hanawalt | Podiatrist | 1239 Woodland Dr, Suite 101, Elizabethtown, KY 42701-2770 | 2011-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1033629191 | Katherine Constance Mcleod | Speech-Language Pathologist | Hardin County School, Rr2, Elizabethtown, IL 62931 | 2017-10-03 |
| 1023537198 | Kathryn Davis | Speech-Language Pathologist | 34 Public Sq, 2, Elizabethtown, KY 42701-1436 | 2017-09-11 |
| 1952848863 | Jennifer Irvin | Speech-Language Pathologist | 3494 Roundtop Rd, Elizabethtown, PA 17022-9059 | 2017-01-30 |
| 1053860718 | Athena V Emerine | Speech-Language Pathologist | 28 Paddock Point Ct, Elizabethtown, KY 42701-4310 | 2016-09-22 |
| 1013464437 | Kynisha Cloud | Speech-Language Pathologist | 36 Creekside Dr, Elizabethtown, PA 17022-9230 | 2016-09-01 |
| 1801256847 | Michele Swiney | Speech-Language Pathologist | 508 Poplar Trce, Elizabethtown, KY 42701-8084 | 2016-03-03 |
| 1619349099 | Pegasus Farm Inc | Speech-Language Pathologist | 4271 Roundtop Rd, Elizabethtown, KY 42701-8244 | 2015-10-26 |
| 1790152221 | Ace Therapy | Speech-Language Pathologist | 28 Paddock Pt, Elizabethtown, KY 42701-4310 | 2015-09-01 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on HEARTLAND WHOLE BRAIN LEARNING-PEDIATRIC & ADULT THERAPY LLC.
| 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.