MRS. JESSICA CAROLYN BRALEY KEENAN (NPI# 1174969208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174969208 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA CAROLYN BRALEY KEENAN |
| Other Name | MISS JESSICA CAROLYN BRALEY |
| Credential | MA, CCC-SLP, EIS |
| Practice Address |
1864 High Grove Ln Ste 122 Naperville IL 60540-9213 |
| Mailing Address |
515 Sylvan Ave Po Box 274 Grand Ridge IL 61325-9112 |
| Practice Telephone | 7084781820 |
| Mailing Telephone | 8152287184 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2014-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.012090 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917482 | Jessica Kay Keenan | Physical Therapy Assistant | 600 Medical Center Dr, Newton, KS 67114-8780 | 2019-11-27 |
| 1659809135 | Jessica L Keenan | Social Worker | 1270 Doris Rd, Auburn Hills, MI 48326-2617 | 2017-05-30 |
| Street Address |
1864 HIGH GROVE LN STE 122 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-9213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629580659 | Megan Elizabeth Wilkison | Occupational Therapist | 1864 High Grove Ln Ste 122, Naperville, IL 60540-9213 | 2017-10-31 |
| 1528590080 | Rebecca Mackenzie | Occupational Therapist | 1864 High Grove Ln Ste 122, Naperville, IL 60540-9213 | 2017-04-03 |
| 1730556226 | Amy Aneston | Speech-Language Pathologist | 1864 High Grove Ln Ste 122, Naperville, IL 60540-9213 | 2015-08-31 |
| 1588055412 | Dana Bukala | Physical Therapy Assistant | 1864 High Grove Ln Ste 122, Naperville, IL 60540-9213 | 2015-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| 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 |
|---|---|---|---|---|
| 1396360418 | Elizabeth Grubich | Speech-Language Pathologist | 25w374 Mayflower Ave, Naperville, IL 60540-3513 | 2020-06-15 |
| 1194340166 | Megan Vander Ploeg | Speech-Language Pathologist | 1331 W 75th St Ste 102, Naperville, IL 60540-9311 | 2020-06-15 |
| 1902421514 | Courtney Coates | Speech-Language Pathologist | 1509 Terrance Dr, Naperville, IL 60565-4105 | 2020-06-09 |
| 1730700311 | Jaidan Barton | Speech-Language Pathologist | 990 Fairway Dr Apt 204, Naperville, IL 60563-1040 | 2020-05-05 |
| 1841842408 | Sonia Dayal-boyce | Speech-Language Pathologist | 3003 103rd St, Naperville, IL 60564-8000 | 2019-07-14 |
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083272926 | Jennifer L Perruquet | Speech-Language Pathologist | 3220 Cedar Glade Dr, Naperville, IL 60564-8560 | 2019-06-05 |
| 1003375353 | Judith Anne Lawlor | Speech-Language Pathologist | 2652 Haddassah Dr, Naperville, IL 60565-3068 | 2019-03-17 |
| 1881171569 | Juliana G Marks | Speech-Language Pathologist | 5335 Coneflower Dr, Naperville, IL 60564-5343 | 2018-07-25 |
| 1710463864 | Lena Grace Smith | Speech-Language Pathologist | 1316 Bond St Ste 116, Naperville, IL 60563-6526 | 2018-07-12 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.