MRS. CARRIE MARIE BRADSHAW (NPI# 1235553108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235553108 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE MARIE BRADSHAW |
| Credential | MS/CCC-SLP |
| Practice Address |
29294 390th St Griggsville IL 62340-2273 |
| Practice Telephone | 2174303410 |
| Mailing Telephone | 2174303410 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146010674 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
29294 390TH ST |
| City | GRIGGSVILLE |
| State | IL |
| Zip Code | 62340-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609354976 | Jessica Strang | Speech-Language Pathologist | 37601 435th St, Griggsville, IL 62340 | 2018-07-30 |
| 1568664076 | Griggsville Perry Cusd 4 | Local Education Agency (LEA) | Stanford Liberty Sts, Griggsville, IL 62340-0439 | 2007-06-05 |
| 1265655260 | Alissa Michele Waters | Developmental Therapist | 43273 335th Ave, Griggsville, IL 62340-2312 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609354976 | Jessica Strang | Speech-Language Pathologist | 37601 435th St, Griggsville, IL 62340 | 2018-07-30 |
| 1568664076 | Griggsville Perry Cusd 4 | Local Education Agency (LEA) | Stanford Liberty Sts, Griggsville, IL 62340-0439 | 2007-06-05 |
| 1265655260 | Alissa Michele Waters | Developmental Therapist | 43273 335th Ave, Griggsville, IL 62340-2312 | 2007-04-10 |
| 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 |
|---|---|---|---|---|
| 1609354976 | Jessica Strang | Speech-Language Pathologist | 37601 435th St, Griggsville, IL 62340 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1194326363 | Cheryl Clemens | Speech-Language Pathologist | 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 | 2020-11-04 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1942809231 | Progress To Success Speech Therapy Pllc | Speech-Language Pathologist | 4940 Wilderness Pt, Smithton, IL 62285-3664 | 2020-10-19 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1295332617 | Rachel Raffalo | Speech-Language Pathologist | 1050 S Euclid Ave, Elmhurst, IL 60126-5169 | 2020-10-08 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1255938908 | Norma Laura Gregorio-perez | Speech-Language Pathologist | 1601 E Main St # G, St Charles, IL 60174-2431 | 2020-10-06 |
| 1073110227 | Erin Koester | Speech-Language Pathologist | 633 County Highway 22, Cowden, IL 62422-4104 | 2020-10-01 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | GRIGGSVILLE |
| Zip Code | 62340 |
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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.