ELITE DYSPHAGIA DIAGNOSTICS & SPEECH SERVICES, LLC (NPI# 1184280729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184280729 |
| Entity Type | Organization |
| Organization Name | ELITE DYSPHAGIA DIAGNOSTICS & SPEECH SERVICES, LLC |
| Practice Address |
1200 N Kingshighway St Unit 202 Cape Girardeau MO 63701-3507 |
| Mailing Address |
312 Stepping Stone Way Cape Girardeau MO 63701-8388 |
| Practice Telephone | 5738033338 |
| Practice Fax Number | 8445790089 |
| Mailing Telephone | 5732253639 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MS. LAURA MAE RANDEN (OWNER) |
| Authorized Official Telephone | 5732253639 |
| Authorized Official Credential | MA, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
1200 N KINGSHIGHWAY ST UNIT 202 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| 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 |
|---|---|---|---|---|
| 1255967931 | Krista Shaffer | Speech-Language Pathologist | 1557 Lexington Ave, Cape Girardeau, MO 63701-2527 | 2020-03-13 |
| 1417582065 | Angela Suzanne Haggerty | Speech-Language Pathologist | 1829 N Sprigg St, Cape Girardeau, MO 63701-3047 | 2020-03-04 |
| 1689185175 | Conversation Connections LLC | Speech-Language Pathologist | 2000 Woodlawn Ave, Cape Girardeau, MO 63701-4540 | 2017-10-24 |
| 1366972275 | Marcia Haims | Speech-Language Pathologist | 1 University Plz # Ms 2600, Cape Girardeau, MO 63701-4710 | 2017-06-13 |
| 1114475936 | Kelsey Lee | Speech-Language Pathologist | 1910 Whitener St, Cape Girardeau, MO 63701-5239 | 2016-09-21 |
| 1245685965 | Kristy Johnston | Speech-Language Pathologist | 2314 Perryville Rd, Cape Girardeau, MO 63701-1822 | 2016-05-01 |
| 1730541996 | Laura Randen | Speech-Language Pathologist | 312 Stepping Stone Way, Cape Girardeau, MO 63701-8388 | 2016-03-25 |
| 1699168427 | Jodi Durow | Speech-Language Pathologist | 1942 Briarwood Dr, Cape Girardeau, MO 63701-2504 | 2015-03-18 |
| 1598181182 | Cape Speech and Swallowing Therapy,llc. | Speech-Language Pathologist | 4 S Pacific St, Cape Girardeau, MO 63703-6103 | 2014-03-06 |
| 1326319765 | Joyce Rita Renaud | Speech-Language Pathologist | 1843 Dixie Blvd, Cape Girardeau, MO 63701-2217 | 2012-01-17 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on ELITE DYSPHAGIA DIAGNOSTICS & SPEECH SERVICES, 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.