PATRICK KNISLEY (NPI# 1245714716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245714716 |
| Entity Type | Individual |
| Full Name | PATRICK KNISLEY |
| Credential | M.A., SLP |
| Practice Address |
4455 W 117th St Hawthorne CA 90250-2241 |
| Practice Telephone | 3108381552 |
| Mailing Telephone | 3108381552 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MULTI-SPECIALTY GROUP | 1942530407 | 01 |
| Street Address |
4455 W 117TH ST |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130832 | Fox Hills Pharmacy Inc | Pharmacy | 4455 W 117th St, Ste 101, Hawthorne, CA 90250-2241 | 2005-08-03 |
| 1457993792 | Tasha Dutil | Occupational Therapist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2019-10-08 |
| 1952960452 | Tanya Barton Henry | Pharmacist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2019-06-07 |
| 1821400490 | Jennifer Moreno Prior | Physician Assistant | 4455 W 117th St, #300, Hawthorne, CA 90250 | 2014-05-29 |
| 1427370733 | Maya Elena Wille | Pediatrics | 4455 W 117th St, Suite 300, Hawthorne, CA 90250-2241 | 2010-02-28 |
| 1427218510 | Karen Elizabeth Courtney | Registered Nurse | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2008-06-11 |
| 1912189663 | Tahira Stewart | Family Medicine | 4455 W 117th St, #300, Hawthorne, CA 90250-2241 | 2007-12-04 |
| 1396945770 | Vanessa Laquinte Neal | Specialist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2007-07-23 |
| 1629192133 | Shereen Beverly, M.d. Inc. | Obstetrics & Gynecology | 4455 W 117th St, Suite 506, Hawthorne, CA 90250-2241 | 2007-03-19 |
| 1861522708 | La Vida Multispecialty Medical Group Inc | Specialist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1811521958 | Amanda Marie Thorp | Speech-Language Pathologist | 13435 Yukon Ave, Hawthorne, CA 90250-6228 | 2020-02-27 |
| 1982251542 | Kyra Marie Quinones | Speech-Language Pathologist | 5348 W 142nd Pl, Hawthorne, CA 90250-6640 | 2019-08-19 |
| 1528610847 | Taylor Alison Chia | Speech-Language Pathologist | 4455 W 117th St Ste 406, Hawthorne, CA 90250-2240 | 2019-07-16 |
| 1093289233 | Megan Anne Branagh | Speech-Language Pathologist | 117 Beverly Rd, Hawthorne, NJ 07506-3237 | 2019-01-21 |
| 1609344191 | Laura Ann Grube | Speech-Language Pathologist | 26 Oak Pl, Hawthorne, NJ 07506-1807 | 2018-11-02 |
| 1063875011 | Sarah Murray | Speech-Language Pathologist | 156 May St, Apt 2, Hawthorne, NJ 07506-2650 | 2016-03-29 |
| 1124406046 | Deborah Poirier | Speech-Language Pathologist | 5411 W 142nd Pl, Hawthorne, CA 90250-6631 | 2015-05-12 |
| 1922416338 | Anne W Tittle | Speech-Language Pathologist | 5327 W 141st St, Hawthorne, CA 90250-6407 | 2014-07-29 |
| 1275965741 | Holly Heath Qualls | Speech-Language Pathologist | 317 D Street, Hawthorne, NV 89415 | 2013-08-06 |
| 1255675245 | Nicole Michelle Kuhrt | Speech-Language Pathologist | 96 Parmelee Ave, Hawthorne, NJ 07506-2923 | 2012-11-15 |
| Find all providers in HAWTHORNE | ||||
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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.