MRS. KIM K COSTELLO (NPI# 1306926233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306926233 |
| Entity Type | Individual |
| Full Name | MRS. KIM K COSTELLO |
| Credential | M.S., CCC-SLP |
| Practice Address |
4500 I-55 North Suite 291, Highland Village Jackson MS 39211 |
| Mailing Address |
1006 Canterbury Pl E Brandon MS 39042-8105 |
| Practice Telephone | 6013620859 |
| Practice Fax Number | 6013620870 |
| Mailing Telephone | 6018255678 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SO780 | MS | Speech, Language and Hearing Service Providers |
| Street Address |
4500 I-55 NORTH SUITE 291, HIGHLAND VILLAGE |
| City | JACKSON |
| State | MS |
| Zip Code | 39211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184979932 | Anna Mcvey Usry | Dentist | 4500 I-55 North, Suite 235, Jackson, MS 39211-5930 | 2012-07-18 |
| 1538343751 | Recovery Consultations, Inc | Counselor | 4500 I-55 North, Ste 293, Jackson, MS 39211 | 2007-12-24 |
| 1790984649 | Leona Demethia Bishop | Counselor | 4500 I-55 North, Highland Village- Suite 220, Jackson, MS 39157 | 2007-07-12 |
| 1073716387 | Richard Earl Rhoden | Psychiatry & Neurology | 4500 I-55 North, Suite 248, Jackson, MS 39211-5966 | 2007-06-06 |
| 1891814273 | Anna Kathryn Huth | Speech-Language Pathologist | 4500 I-55 North, Highland Village, Suite 291, Jackson, MS 39211 | 2007-03-28 |
| 1396822466 | Andrea Atchley Rives | Speech-Language Pathologist | 4500 I-55 North, Suite 291, Highland Village, Jackson, MS 39211 | 2006-11-01 |
| 1205919073 | Monica D. Thomas | Marriage & Family Therapist | 4500 I-55 North, Suite 200, Jackson, MS 39211 | 2006-10-23 |
| 1952483471 | Blair Webb | Occupational Therapist | 4500 I-55 North, Suite 291, Highland Village, Jackson, MS 39211 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| 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 |
|---|---|---|---|---|
| 1396359295 | Chloe Chow | Speech-Language Pathologist | 21 Okeena Dr, Jackson, TN 38305-8819 | 2020-09-08 |
| 1801400874 | Shalvah T Dworkin | Speech-Language Pathologist | 13 Linda Dr, Jackson, NJ 08527-5025 | 2020-09-07 |
| 1710523030 | Focused Speech and Language Development LLC | Speech-Language Pathologist | 26 Illinois Ave, Jackson, NJ 08527-2153 | 2019-11-21 |
| 1992356158 | Emily Mangum | Speech-Language Pathologist | 2046 Meadowbrook Rd, Jackson, MS 39211-6527 | 2019-09-27 |
| 1497305536 | Karen Coveart | Speech-Language Pathologist | 4030 Gatewood Dr, Jackson, MI 49203-5461 | 2019-09-19 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1699337691 | Foster Their Voice, LLC | Speech-Language Pathologist | 1027 Shady Ln, Jackson, MO 63755-2649 | 2019-07-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1801450531 | Stephanie M Tripp | Speech-Language Pathologist | 407 S Wisner St, Jackson, MI 49203-1573 | 2019-04-29 |
| 1114483674 | Sarah Beatrice Robinson | Speech-Language Pathologist | 200 Hampton Woods Road, Jackson, NC 27845 | 2019-02-20 |
| Find all providers in JACKSON | ||||
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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.