MS. NANCY REVELLI ELAM (NPI# 1346315199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346315199 |
| Entity Type | Individual |
| Full Name | MS. NANCY REVELLI ELAM |
| Other Name | MISS NANCY ANNE REVELLI |
| Credential | MA CCC SLP |
| Practice Address |
191 W Burton Mesa Blvd Suite B Lompoc CA 93436 |
| Mailing Address |
191 W Burton Mesa Blvd Cross Speech & Language Center Ste B Lompoc CA 93436 |
| Practice Telephone | 8057334542 |
| Practice Fax Number | 8057334392 |
| Mailing Telephone | 8057334542 |
| Mailing Fax Number | 8057334392 |
| Enumeration Date | 2006-11-21 |
| 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 | SP4974 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GSP000390 | 05 | |
| CA | TRIWEST | 0663623 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245356252 | Nancy Elam | Pharmacist | 3200 N Ashley St, Valdosta, GA 31602-1745 | 2007-03-21 |
| Street Address |
191 W BURTON MESA BLVD SUITE B |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184989543 | Deborah L Tobler | Speech-Language Pathologist | 191 W Burton Mesa Blvd, B, Lompoc, CA 93436-1400 | 2012-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| 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 |
|---|---|---|---|---|
| 1629604715 | Dianne Moyer | Speech-Language Pathologist | 746 Goddard Dr, Lompoc, CA 93436-1964 | 2020-03-20 |
| 1336665223 | Mia Michele Malotte | Speech-Language Pathologist | 1133 N H St Ste I, Lompoc, CA 93436-8137 | 2017-08-22 |
| 1639471337 | Stevie Dawn Pierson | Speech-Language Pathologist | 191 W. Burton Mesa Blvd., Suite B, Lompoc, CA 93436 | 2010-12-01 |
| 1386954238 | Linda Ann Cooper | Speech-Language Pathologist | 191 W. Burton Mesa, Suite B, Lompoc, CA 93436 | 2010-10-13 |
| 1003054149 | Nancy Mcmahon Brown | Speech-Language Pathologist | 191 West Burton Mesa, Suite B, Lompoc, CA 93436 | 2009-01-28 |
| 1811153182 | Cherie Lynn Hovey | Speech-Language Pathologist | 191 Burton Mesa Blvd Ste B, Lompoc, CA 93436-1400 | 2008-08-05 |
| 1538333083 | Barbara Ann Saffer | Speech-Language Pathologist | 191 West Burton Mesa Blvd Ste B, Lompoc, CA 93436 | 2008-04-16 |
| 1336214105 | Andrea L Werner | Speech-Language Pathologist | 191 West Burton Mesa Blvd, Ste B, Lompoc, CA 93436 | 2006-11-21 |
| 1346230570 | David S Elam | Speech-Language Pathologist | 1133 N H St, I, Lompoc, CA 93436-3368 | 2005-10-27 |
| 1265075535 | Kelly Francis | Speech-Language Pathologist | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-10-19 |
| Find all providers in LOMPOC | ||||
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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.