SHELLEY BORGESON (NPI# 1265935506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265935506 |
| Entity Type | Individual |
| Full Name | SHELLEY BORGESON |
| Other Name | SHELLEY ANN LOOCK |
| Credential | ST |
| Practice Address |
2231 Us Highway 12 Baldwin WI 54002-3269 |
| Mailing Address |
836 County Road D Woodville WI 54028-7114 |
| Practice Telephone | 8003590174 |
| Mailing Telephone | 7156982919 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1842154 | WI | Speech, Language and Hearing Service Providers |
| Street Address |
2231 US HIGHWAY 12 |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679094 | St. Croix Valley Shared Services, Inc. | Home Health | 2231 Us Highway 12, Ste 201, Baldwin, WI 54002-3269 | 2005-06-14 |
| 1538580675 | Gina Ann Thompson | Occupational Therapist | 2231 Us Highway 12, Baldwin, WI 54002-3269 | 2013-12-16 |
| 1083976625 | St Croix Valley Shared Services | Home Health | 2231 Us Highway 12, Baldwin, WI 54002-3269 | 2012-06-11 |
| 1295004240 | Diane D Jasperson | Physical Therapist | 2231 Us Highway 12, Suite 201, Baldwin, WI 54002-3269 | 2011-12-20 |
| 1578774014 | St. Croix Valley Shared Services, Inc. | Hospice Care, Community Based | 2231 Us Highway 12, Suite 201, Baldwin, WI 54002-3269 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| 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 |
|---|---|---|---|---|
| 1336769223 | Rachel Anne Forrester | Speech-Language Pathologist | 586 Elm Pl, Baldwin, NY 11510-3027 | 2020-04-21 |
| 1417419946 | Judith Ann Heller | Speech-Language Pathologist | 13 Manor Knoll Ct, Baldwin, MD 21013-9583 | 2019-04-03 |
| 1952780538 | Jean Brutus | Speech-Language Pathologist | 2777 2nd Pl, Baldwin, NY 11510-4040 | 2015-05-28 |
| 1629317581 | Allison Federico | Speech-Language Pathologist | 2501 Milburn Avenue, Baldwin, NY 11510-3900 | 2013-02-12 |
| 1255691523 | Maureen Sullivan Evans | Speech-Language Pathologist | 2608 Stanley Dr, Baldwin, MD 21013-9134 | 2012-05-21 |
| 1912276908 | Dawn Lutz Steiner | Speech-Language Pathologist | 880 Jackson St, Baldwin, NY 11510-4837 | 2011-12-20 |
| 1083983167 | Felice Brandner | Speech-Language Pathologist | 3211 Schreiber Pl, Baldwin, NY 11510-4666 | 2011-12-20 |
| 1235407784 | Caron Margolin | Speech-Language Pathologist | 3363 Milburn Ave, Baldwin, NY 11510-5146 | 2011-12-12 |
| 1548542392 | Gretchen C Hagerty | Speech-Language Pathologist | 2526 Harrison Ave, Baldwin, NY 11510-3636 | 2011-09-16 |
| 1073813580 | Kerry-ann Bennett-smith | Speech-Language Pathologist | 711 Arlington Ave, Baldwin, NY 11510-3936 | 2010-10-30 |
| Find all providers in BALDWIN | ||||
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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.