TARA DEANN WILKS (NPI# 1205096211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205096211 |
| Entity Type | Individual |
| Full Name | TARA DEANN WILKS |
| Credential | MS, CCC-SLP |
| Practice Address |
1200 E Pecan St Altus OK 73521-6141 |
| Mailing Address |
2000 E Tamarack Rd Apt 205 Altus OK 73521-9766 |
| Practice Telephone | 5804777226 |
| Practice Fax Number | 5804777206 |
| Mailing Telephone | 5804777226 |
| Mailing Fax Number | 5804777206 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3119 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
1200 E PECAN ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569844 | Holly Register | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2005-06-22 |
| 1912514191 | Blair Durae Testerman | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-09-30 |
| 1023625050 | Shelby Daniel | Occupational Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-09-24 |
| 1376154666 | Susan Elizabeth Spirlock | Physical Therapist | 1200 E Pecan St, Altus, OK 73521-6141 | 2020-08-11 |
| 1962033837 | Kristina Nicole Calonge | Occupational Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6141 | 2020-01-30 |
| 1265063234 | Taylor Danielle Stubbs | Physical Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-01-29 |
| 1568021475 | Brianna L Jackson | Occupational Therapist | 1200 E Pecan St, Altus, OK 73521-6192 | 2019-06-13 |
| 1295229623 | Amanda Jean Werneke | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521 | 2018-06-19 |
| 1275036691 | Jamie Koeritz | Physical Therapist | 1200 E Pecan St, Altus, OK 73521-6141 | 2018-03-12 |
| 1710486733 | Corrie Suzanne Driggers Gossett | Registered Nurse | 1200 E Pecan St, Altus, OK 73521-6141 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| 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 |
|---|---|---|---|---|
| 1033478110 | Jennifer Kathryn Kemph | Speech-Language Pathologist | 3909 Pilgrim Ln, Altus, OK 73521-1820 | 2012-05-10 |
| 1013221027 | Christi R Townshend | Speech-Language Pathologist | 504 Quail Run N, Altus, OK 73521-9723 | 2010-08-02 |
| 1912514191 | Blair Durae Testerman | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-09-30 |
| 1679092969 | Teresa Sheerilee Hurst | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6141 | 2017-09-18 |
| 1972031748 | Ginny Lynn Calhoun | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6141 | 2017-05-24 |
| 1336672732 | Kelci Layne Cunningham | Speech-Language Pathologist | 401 W Tamarack Rd, Altus, OK 73521-1529 | 2017-04-04 |
| 1508241142 | Kemph Pediatric Therapy Services Pllc | Speech-Language Pathologist | 3909 Pilgrim Ln, Altus, OK 73521-1077 | 2015-07-24 |
| 1942606371 | Amanda Crisman | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6141 | 2014-11-12 |
| 1417255704 | Amber Dawn Jackson | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6141 | 2011-03-10 |
| 1144434531 | Glenda D Hebensperger | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6141 | 2007-05-09 |
| Find all providers in ALTUS | ||||
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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.