MRS. TAMARA LANE WILLMORE (NPI# 1326567371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326567371 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA LANE WILLMORE |
| Credential | M.S., CCC-SLP |
| Practice Address |
409 E Park St Benton IL 62812-1920 |
| Mailing Address |
606 S Binkley St West Frankfort IL 62896-3007 |
| Practice Telephone | 6184397231 |
| Mailing Telephone | 6189328559 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146005821 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1609901784 | 05 |
| Street Address |
409 E PARK ST |
| City | BENTON |
| State | IL |
| Zip Code | 62812-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859351 | Brittania Marie Webb | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-08 |
| 1831700509 | Amy M Weaver | Psychologist | 409 E Park St, Benton, IL 62812-1920 | 2020-08-14 |
| 1922618362 | Kelly Lynn Dill | Psychologist | 409 E Park St, Benton, IL 62812-1920 | 2020-07-31 |
| 1619518081 | Alexys Hayes | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2019-10-07 |
| 1740709195 | Chelsea Steele | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-18 |
| 1447779558 | Sheila Murphy Foster | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| 1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
| 1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
| Find all providers in zip 62812 | ||||
| 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 |
|---|---|---|---|---|
| 1932728292 | Carlie Bourland | Speech-Language Pathologist | 256 Bondurant Ln, Benton, KY 42025-5726 | 2020-04-15 |
| 1881182152 | Kristen Grace Farley | Speech-Language Pathologist | 74 Carriage Ln, Benton, KY 42025-5309 | 2018-04-23 |
| 1255859351 | Brittania Marie Webb | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-08 |
| 1295253383 | Lisa Page | Speech-Language Pathologist | 1000 E Mckenzie St, Benton, IL 62812-3352 | 2017-09-08 |
| 1477078673 | Pediatric Therapy Partners LLC | Speech-Language Pathologist | 16085 Highway 157, Benton, LA 71006-4707 | 2017-08-08 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1902333933 | Aaron Bean | Speech-Language Pathologist | 2909 Silverton Dr, Benton, AR 72019-8367 | 2017-05-22 |
| 1144761362 | Chelsea Chamberlain | Speech-Language Pathologist | 237 Morgan Ct, Benton, LA 71006-4832 | 2017-03-20 |
| 1104379478 | Victoria Seale | Speech-Language Pathologist | 302 Merril Dr, Benton, AR 72015-4997 | 2016-08-03 |
| 1720453939 | Jill Slayden | Speech-Language Pathologist | 1422 Moors Camp Hwy, Benton, KY 42025-8269 | 2015-12-14 |
| Find all providers in BENTON | ||||
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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.