SONDRA J BISTLINE (NPI# 1174823843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174823843 |
| Entity Type | Individual |
| Full Name | SONDRA J BISTLINE |
| Credential | M.S. |
| Practice Address |
45 North 100 East Fredonia AZ 86022-0843 |
| Mailing Address |
Po Box 843 45 N. 100 E. Fredonia AZ 86022-0843 |
| Practice Telephone | 9286063565 |
| Practice Fax Number | 9286436554 |
| Mailing Telephone | 9286063565 |
| Mailing Fax Number | 9286436554 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 8562432-4102 | UT | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SLP6667 | AZ | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | TSLP6667 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
45 NORTH 100 EAST |
| City | FREDONIA |
| State | AZ |
| Zip Code | 86022-0843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516020 | Josey K Morrison | Massage Therapist | 1485 East 3200 South, Cane Beds, AZ 86022 | 2020-10-21 |
| 1023638806 | David Armstrong Lambert | Speech-Language Pathologist | 221 East Hortt Strett, Fredonia, AZ 86022 | 2020-04-21 |
| 1003315151 | Thomas Charles Kinne II | Respite Care | 314 Aspen Street, Fredonia, AZ 86022 | 2018-02-05 |
| 1629339437 | Re-creation Retreat LLC | Substance Abuse Rehabilitation Facility | 455 South Main, Fredonia, AZ 86022 | 2012-06-07 |
| 1659686897 | James Gray Millward | Dentist | 100 E. Wood Hill Rd., Fredonia, AZ 86022 | 2010-08-12 |
| 1518134626 | Deanne Lazenby Peterson | Occupational Therapist | 10 Rosecliff Lane, Cane Beds, AZ 86022 | 2008-05-08 |
| 1811189103 | Fredonia-moccasin Unified School District | Local Education Agency (LEA) | 221 East Hortt Street, Fredonia, AZ 86022 | 2007-08-10 |
| 1265556336 | Guy Ronald Finicum | Counselor | 2800 N. 50 E., Fredonia, AZ 86022 | 2007-03-16 |
| 1144368010 | Randy K Soderquist | Social Worker | 465 South Main, Fredonia, AZ 86022 | 2007-02-02 |
| 1427006469 | William J Trudell | Counselor | 850 E. Hwy 89a, Fredonia, AZ 86022 | 2006-05-04 |
| Find all providers in zip 86022 | ||||
| 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 |
|---|---|---|---|---|
| 1518573062 | Amy Lee Peters | Speech-Language Pathologist | 9571 Stone Rd, Fredonia, NY 14063-9640 | 2020-09-21 |
| 1003436700 | Speakn Up LLC | Speech-Language Pathologist | 45 N First East St, Fredonia, AZ 86022-0079 | 2020-04-22 |
| 1023638806 | David Armstrong Lambert | Speech-Language Pathologist | 221 East Hortt Strett, Fredonia, AZ 86022 | 2020-04-21 |
| 1851754717 | Megan Daugherty | Speech-Language Pathologist | 1200 Dalton Rd, Fredonia, KY 42411-9672 | 2016-03-29 |
| 1750655247 | Heath L. Forster | Speech-Language Pathologist | 2 Bryant Pl, Fredonia, NY 14063-1206 | 2012-02-29 |
| 1508134941 | Lauren Cecile Merlino | Speech-Language Pathologist | 9520 Fredonia-stockton Road, Lo Guidance Education Center, Fredonia, NY 14063 | 2011-12-13 |
| 1689989402 | Robert Henry Brown Jr. | Speech-Language Pathologist | 4576 Berry Rd, Fredonia, NY 14063-1547 | 2010-08-17 |
| 1558500082 | Suzzane Patricia Voss | Speech-Language Pathologist | 197 Liberty St, Fredonia, NY 14063-2005 | 2009-02-06 |
| 1720238827 | Cara Lynn Frame | Speech-Language Pathologist | 4300 Webster Rd, Fredonia, NY 14063-9641 | 2008-09-25 |
| 1891942280 | Barbara Ann Rivera | Speech-Language Pathologist | 155 Chautauqua Rd, Fredonia, NY 14063-2213 | 2008-08-27 |
| Find all providers in FREDONIA | ||||
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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.