MELISSA RUSSELL (NPI# 1326566985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326566985 |
| Entity Type | Individual |
| Full Name | MELISSA RUSSELL |
| Practice Address |
845 E Jackson St Du Quoin IL 62832-3871 |
| Mailing Address |
13600 Bandyville Rd Herrin IL 62948-6514 |
| Practice Telephone | 6185422646 |
| Mailing Telephone | 6185211118 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.006370 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648270 | Melissa Russell | Counselor | 205 Oakhill Rd Ste A, Jasper, AL 35504-7416 | 2019-03-14 |
| 1457883662 | Melissa Lynn Russell | Counselor | 808 Hunters Run, Midwest City, OK 73130-4528 | 2017-03-28 |
| 1821404666 | Melissa Russell | Specialist/Technologist | 9898 Maple Ave, Hesperia, CA 92345-2968 | 2014-07-01 |
| 1740628106 | Melissa Russell | Nurse Practitioner | 467 W 159th St Apt 31, New York, NY 10032-5300 | 2013-06-07 |
| 1114543998 | Melissa Lynn Russell | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-06-17 |
| 1912489329 | Melissa Russell | Behavior Technician | 2080 N Tustin Ave Ste B, Santa Ana, CA 92705-7875 | 2018-08-31 |
| 1629555735 | Melissa Montanez Russell | Dietitian, Registered | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2018-07-20 |
| 1225420706 | Melissa Russell | Registered Nurse | 55 Ne Grand Ave, Portland, OR 97232-2968 | 2015-02-20 |
| 1568882488 | Melissa Lee Russell | Specialist/Technologist | 2401 Claremont Ln, Houston, TX 77019-5811 | 2014-04-17 |
| 1154689669 | Melissa Ann Russell | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2012-05-03 |
| Street Address |
845 E JACKSON ST |
| City | DU QUOIN |
| State | IL |
| Zip Code | 62832-3871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154592780 | Du Quoin Community Unit School | Clinic/Center | 845 E Jackson St, Du Quoin, IL 62832-3871 | 2008-03-24 |
| 1609383322 | Amy Deanne Fornear | Registered Nurse | 845 E Jackson St, Du Quoin, IL 62832-3871 | 2018-01-03 |
| 1922527860 | Anita Jo Gross | Speech-Language Pathologist | 845 E Jackson St, Du Quoin, IL 62832-3871 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618859 | Jarrett Alexander Edwards | Pharmacist | 215 Grant Way Wal Mart Pharmacy, Du Quoin, IL 62832 | 2018-11-14 |
| 1932687944 | Gold Plate Program of Perry County | In Home Supportive Care | 721 N Hickory St, Du Quoin, IL 62832 | 2018-08-01 |
| 1972833770 | Danielle Klump | Nurse Practitioner | 900 N Washington Street, Du Quoin, IL 62832 | 2009-12-30 |
| 1003017849 | Heather Richelman | Physical Therapist | 900 N. Washington, Duquoin, IL 62832 | 2007-05-30 |
| 1295954600 | Duquoin Comm Unit Dist 300 | Clinic/Center | 845 East Jackson Street, Duquoin, IL 62832 | 2007-04-24 |
| 1427106426 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | Us Hwy 51 S Rr 2, Duquion, IL 62832 | 2007-01-08 |
| 1659475879 | Southern Illinois Surgical Appliance Co | Durable Medical Equipment & Medical Supplies | 207 East Main St, Duquoin, IL 62832 | 2006-09-08 |
| 1801909700 | Edward Clay Travis | Family Medicine | 900 N. Washington St, Du Quoin, IL 62832 | 2006-08-16 |
| 1871505941 | John Wesley Melvin | Chiropractor | 420 South Washington St, Duquoin, IL 62832 | 2006-08-13 |
| 1730133505 | Patrick L Riley | Family Medicine | 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | 2006-05-19 |
| Find all providers in zip 62832 | ||||
| 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 |
|---|---|---|---|---|
| 1538685995 | Melissa Kay Wade | Speech-Language Pathologist | 500 E South St, Du Quoin, IL 62832-2338 | 2017-08-17 |
| 1972119956 | Victoria Ruggeri | Speech-Language Pathologist | 402 N Maple St, Du Quoin, IL 62832-1059 | 2020-09-16 |
| 1922527860 | Anita Jo Gross | Speech-Language Pathologist | 845 E Jackson St, Du Quoin, IL 62832-3871 | 2017-09-12 |
| 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 | ||||
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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.