MAGNIFICENT KIDS LLC (NPI# 1346573730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346573730 |
| Entity Type | Organization |
| Organization Name | MAGNIFICENT KIDS LLC |
| Practice Address |
70 Main St. Suite 201 Peterborough NH 03458-1238 |
| Mailing Address |
Po Box 71 Peterborough NH 03458-0071 |
| Practice Telephone | 6039247722 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2013-08-13 |
| Authorized Official Name | MRS. ELISHA MAGNIFICO (MANAGER/SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 6039247722 |
| Authorized Official Credential | MA/CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1111 | NH | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM BCBS | 66Y011091NH01 | 01 |
| NH | 3072607 | 05 | |
| NH | TUFTS | 761242 | 01 |
| NH | CIGNA | 272746 | 01 |
| NH | HARVARD PILGRIM | 626514 | 01 |
| NH | 99560056 | 05 | |
| NH | AETNA | 561822 | 01 |
| Street Address |
70 MAIN ST. SUITE 201 |
| City | PETERBOROUGH |
| State | NH |
| Zip Code | 03458-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737608 | Amy Sue Odell Wilson | Acupuncturist | 78 Concord Street, Peterborough, NH 03458 | 2020-03-30 |
| 1144787037 | Aaron Cubbage | Massage Therapist | 20 Depot Street, Suite 310-3, Peterborough, NH 03458 | 2019-02-27 |
| 1285152892 | Taylor Joan Cordts | Physical Therapist | 150 Rivermead Road, Peterborough, NH 03458 | 2017-09-03 |
| 1659892701 | Ga Perry Dds Peterborough Pllc | Dentist | 70 Main Street, Suite 202, Ga Perry Dds Peterborough Pllc, Peterborough, NH 03458 | 2017-06-29 |
| 1356889901 | Brittany Molino | Physician Assistant | 458 Old Street Rd Ste 200, Peterborough, NH 03458 | 2017-02-03 |
| 1255889549 | Jade Ashton Durgin | Physician Assistant | 424 Old Street Road Suite 201, Peterborough, NH 03458 | 2016-09-14 |
| 1891050530 | Lara Kroodsma, Psyd, Pllc | Community/Behavioral Health | 25b Steele Rd, Peterborough, NH 03458 | 2012-07-09 |
| 1073817664 | Linda M Perry | Counselor | 7 Vose Farm Road, Peterborough, NH 03458 | 2010-12-22 |
| 1396071619 | Siobhan K Benham | Nurse Practitioner | 109c Grove Street, Peterborough, NH 03458 | 2009-10-21 |
| 1245488253 | Barbara Lloyd | Counselor | 9 Vose Road, Peterborough, NH 03458 | 2008-09-03 |
| Find all providers in zip 03458 | ||||
| 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 |
|---|---|---|---|---|
| 1528545175 | Brieann Lavoie | Speech-Language Pathologist | 50 Pheasant Rd, Peterborough, NH 03458-2110 | 2018-07-26 |
| 1174831838 | Meredith Alissa Blair Desaulniers | Speech-Language Pathologist | 50 Pheasant Rd, Peterborough, NH 03458-2110 | 2010-09-15 |
| 1962524215 | Christiane Jane Scarpino | Speech-Language Pathologist | 300 Rivermead Rd, Peterborough, NH 03458-1762 | 2007-04-06 |
| 1992830087 | Jonathan D Clancy | Speech-Language Pathologist | 300 Rivermead Rd, Peterborough, NH 03458-1762 | 2007-02-22 |
| 1992855613 | Elisha Magnifico | Speech-Language Pathologist | 70 Main Street, Suite 201, Peterborough, NH 03458-1238 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254454 | Pamela Fallon Banks | Speech-Language Pathologist | 36 Silver Lake Rd, Hollis, NH 03049-6260 | 2020-10-29 |
| 1801495650 | Meghan Bagdovitz | Speech-Language Pathologist | 112b Lowell Rd, Windham, NH 03087-1860 | 2020-10-22 |
| 1205435500 | Sarah Elizabeth Lenoir | Speech-Language Pathologist | 274 Town House Rd, Cornish, NH 03745-4633 | 2020-10-19 |
| 1306444872 | Melissa Bourgoin | Speech-Language Pathologist | 715 Riverwood Dr, Pembroke, NH 03275-3701 | 2020-10-15 |
| 1881201010 | Jenna Cortese | Speech-Language Pathologist | 100 Aurore Ave, Manchester, NH 03109-4919 | 2020-10-01 |
| 1861099095 | Alexandra Murphy | Speech-Language Pathologist | 691 Profile Rd, Bethlehem, NH 03574-5803 | 2020-10-01 |
| 1811503121 | Mary Carbonneau | Speech-Language Pathologist | 38 Mcelwain St, Merrimack, NH 03054-3663 | 2020-09-22 |
| 1093321036 | Jennifer Maynard | Speech-Language Pathologist | 160 Hanover St, Claremont, NH 03743 | 2020-09-16 |
| 1942815048 | Francesca Pendolino | Speech-Language Pathologist | 3 Moulton Ave, Lebanon, NH 03766-1852 | 2020-09-15 |
| 1932714631 | Haleigh Theresa Varieur | Speech-Language Pathologist | 134 Camp Sargent Rd, Merrimack, NH 03054-4700 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | PETERBOROUGH |
| Zip Code | 03458 |
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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.