BRADLEE JAYDE MIX (NPI# 1174175640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174175640 |
| Entity Type | Individual |
| Full Name | BRADLEE JAYDE MIX |
| Credential | M.S., CCC-SLP |
| Practice Address |
300 Schuylkill Medical Plz Pottsville PA 17901-3668 |
| Mailing Address |
12 Hickory Ter Wellsboro PA 16901-1300 |
| Practice Telephone | 5706219500 |
| Practice Fax Number | 5706219510 |
| Mailing Telephone | 5703374487 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SL014647 | PA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | PSL000361 | PA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 32-36 Central Ave, Wellsboro, PA 169011899 | 5707230120 | 5707245633 |
| Street Address |
300 SCHUYLKILL MEDICAL PLZ |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522205 | Schuylkill Rehabilitation Center, Inc. | Clinic/Center | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2005-07-20 |
| 1316188410 | David M Lipko | Physical Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-19 |
| 1205077302 | Kenneth K Kintzel | Physical Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-19 |
| 1215178314 | Mike R Smith | Physical Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-19 |
| 1346481595 | Susan S Schuettler | Speech-Language Pathologist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-18 |
| 1225279466 | Lynn Ann Kamarousky | Occupational Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-18 |
| 1013158252 | Lauren Nicole Shandor | Occupational Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-18 |
| 1326289570 | Janet L Rollins | Occupational Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-18 |
| 1013158260 | Robert L Dusel | Physical Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-18 |
| 1689815813 | Katrina S Heckman | Occupational Therapist | 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 | 2009-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| 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 |
|---|---|---|---|---|
| 1174975973 | Heather Wojciechowsky | Speech-Language Pathologist | 1901 Mahantongo St, Pottsville, PA 17901-3204 | 2016-07-06 |
| 1427423896 | Samantha Jansson | Speech-Language Pathologist | 2065 W Market St, Pottsville, PA 17901-1905 | 2015-12-10 |
| 1417360959 | Sarah Guthrie | Speech-Language Pathologist | 166 Llewellyn Rd, Pottsville, PA 17901-9067 | 2014-06-03 |
| 1124377718 | Ashley Cory | Speech-Language Pathologist | 898 Hickory St, Pottsville, PA 17901-8528 | 2012-08-29 |
| 1134422454 | Dana Aulgur | Speech-Language Pathologist | 87 South 'b' Street, Pottsville, AR 72858-8721 | 2010-12-08 |
| 1437361904 | Amy Achenbach Johnson | Speech-Language Pathologist | Providence Place, 2200 First Avenue, Pottsville, PA 17901 | 2007-05-04 |
| 1144343732 | Melissa Renee King | Speech-Language Pathologist | 2480 Hudson Rd, Pottsville, AR 72858-9094 | 2007-04-09 |
| 1992838023 | Samantha Jill Jones | Speech-Language Pathologist | 87 South B St, Pottsville, AR 72858 | 2007-03-14 |
| 1700408911 | Casey Lynn Heffelfinger | Speech-Language Pathologist | 1000 Schuylkill Manor Rd, Pottsville, PA 17901-3862 | 2020-05-11 |
| 1245714328 | Emily Elizabeth Soubik | Speech-Language Pathologist | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-09-24 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
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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.