MS. JESSICA E LEADHOLM (NPI# 1194012724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194012724 |
| Entity Type | Individual |
| Full Name | MS. JESSICA E LEADHOLM |
| Credential | MSCFYSLP |
| Practice Address |
77 Milton St N Apt 105 Saint Paul MN 55104-7029 |
| Practice Telephone | 6515874896 |
| Mailing Telephone | 6515874896 |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2011-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 8729 | MN | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 3487-154 | WI | Speech, Language and Hearing Service Providers |
| Street Address |
77 MILTON ST N APT 105 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-7029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| 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 |
|---|---|---|---|---|
| 1518432129 | Bao Dang | Speech-Language Pathologist | 812 Holton St, Saint Paul, MN 55104-1317 | 2018-10-10 |
| 1679091342 | Danielle Ami Deschaine | Speech-Language Pathologist | 753 James Ave, Saint Paul, MN 55102-3409 | 2017-09-01 |
| 1194259655 | Maria Jude Sperl | Speech-Language Pathologist | 867 Juno Ave, Apartment 2, Saint Paul, MN 55102-3713 | 2017-04-11 |
| 1750831673 | Shada Marie Campbell | Speech-Language Pathologist | 1456 Holton St, Saint Paul, MN 55108-2324 | 2016-10-04 |
| 1417322272 | Jami Wemhoff | Speech-Language Pathologist | 110 Bruce Cir, Saint Paul, NE 68873-2210 | 2015-12-04 |
| 1508252008 | Anastazia Rochelle Badeau | Speech-Language Pathologist | 1760 Ames Pl, Saint Paul, MN 55106-2954 | 2015-04-10 |
| 1720486574 | Megan Figg | Speech-Language Pathologist | 1180 Cushing Cir Apt 301, Saint Paul, MN 55108-5016 | 2014-12-10 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1386977163 | Jane Ely Wells | Speech-Language Pathologist | 1440 Randolph Ave, #323, Saint Paul, MN 55105-2509 | 2009-09-11 |
| 1174768782 | Carolyn Ann Lundell | Speech-Language Pathologist | 867 Cleveland Ave S, Apt. 12, Saint Paul, MN 55116-1895 | 2008-12-10 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on MS. JESSICA E LEADHOLM.
| 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.