MRS. AMBER KAY SULLIVAN (NPI# 1174865687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174865687 |
| Entity Type | Individual |
| Full Name | MRS. AMBER KAY SULLIVAN |
| Credential | CCC-SLP |
| Practice Address |
13428 Mount Tabor Rd Odessa MO 64076-7444 |
| Practice Telephone | 8162300026 |
| Mailing Telephone | 8162300026 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2000167733 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235371592 | Amber Sullivan | Acupuncturist | 1600 E Jefferson St Ste 603, Seattle, WA 98122 | 2009-04-01 |
| 1366043275 | Amber Lynn Sullivan | Occupational Therapy Assistant | 3750 Sentara Way, Virginia Beach, VA 23452-4200 | 2020-11-06 |
| 1821342999 | Amber Sullivan | Nurse Practitioner | 1000 Tavern Rd Ste 100, Martinsburg, WV 25401-2853 | 2012-10-29 |
| 1053430728 | Amber Kizzire Sullivan | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2007-03-27 |
| Street Address |
13428 MOUNT TABOR RD |
| City | ODESSA |
| State | MO |
| Zip Code | 64076-7444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1619216231 | Heather N Begemann | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2013-02-01 |
| 1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
| 1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
| 1225004781 | Richard Joseph Humble | Counselor | 406a N 4th, Odessa, MO 64076 | 2006-02-24 |
| 1568962611 | Tina Marie Davis | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2018-02-15 |
| 1740701697 | Leslie Gleason | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2017-06-30 |
| 1982080008 | Danielle Fera | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2015-07-31 |
| 1184979940 | Lucas Paul Taylor | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2012-07-18 |
| 1093893893 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S 2nd St, Odessa, MO 64076 | 2006-11-01 |
| Find all providers in zip 64076 | ||||
| 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 |
|---|---|---|---|---|
| 1386019198 | Erin Smith | Speech-Language Pathologist | 12911 Royal George Ave, Odessa, FL 33556-5710 | 2015-12-04 |
| 1154790434 | Glenna Pusey | Speech-Language Pathologist | 313 South Fifth Street, Box 4010, Odessa, DE 19730 | 2015-09-17 |
| 1730567041 | Kelly Behlmann | Speech-Language Pathologist | 1100 W Cox School Rd, Odessa, MO 64076-5259 | 2015-05-07 |
| 1093108813 | Janae Turner | Speech-Language Pathologist | 7411 Highway Hh, Odessa, MO 64076-6175 | 2015-03-18 |
| 1902201247 | Abbie Barnett | Speech-Language Pathologist | 850 Tower Dr Ste 112, Odessa, TX 79761-4252 | 2014-10-29 |
| 1780929935 | Maribeth Poole | Speech-Language Pathologist | 1406 Wyndham Lakes Dr, Odessa, FL 33556-4322 | 2012-11-28 |
| 1639414972 | Lori Kristen Yauch | Speech-Language Pathologist | 16106 Worlington Pl, Odessa, FL 33556-5702 | 2012-11-27 |
| 1972856698 | Mallory Steffen Speech Therapy, LLC | Speech-Language Pathologist | 701 Opera House Ln, Odessa, MO 64076-1624 | 2012-10-18 |
| 1427309467 | Shari Golenski | Speech-Language Pathologist | 6317 Christopher Ln, Odessa, TX 79762-5457 | 2012-10-01 |
| 1912253899 | Renee Ruff | Speech-Language Pathologist | 10401 Woodstock Rd, Odessa, FL 33556-5011 | 2012-07-30 |
| Find all providers in ODESSA | ||||
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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.