WALTER JOHN EDWARDSON (NPI# 1346588506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346588506 |
| Entity Type | Individual |
| Full Name | WALTER JOHN EDWARDSON |
| Practice Address |
585 Mack Bayou Rd Santa Rosa Beach FL 32459-3111 |
| Mailing Address |
618 W Green St Marshall MI 49068-1428 |
| Practice Telephone | 8502134595 |
| Mailing Telephone | 2692743844 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101000203 | MI | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Barfield Dr, Hastings, MI 490589050 | 2699488041 | 2699489139 |
| Street Address |
585 MACK BAYOU RD |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip Code | 32459-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255535597 | Calley G. Middlebrooks | Developmental Therapist | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2007-06-12 |
| 1891346714 | Sana Nasiruddin | Behavior Technician | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-09-23 |
| 1992352504 | Kara Place | Specialist/Technologist | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-08-20 |
| 1639735657 | Advanced Behavioral Analysis, LLC | Behavioral Analyst | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-05-15 |
| 1013470400 | Alyssa Noell Clayton | Specialist/Technologist | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-04-11 |
| 1568964278 | South Walton Academy, Inc. | Behavioral Analyst | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2018-03-08 |
| 1295170520 | Southern Radiology Specialists of Destin Pllc | Radiology | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2013-04-30 |
| 1851516223 | Health Diagnostics of Santa Rosa LLC | Clinic/Center | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740521 | Gary Mcfadyen | Hearing Instrument Specialist | 395 E. Point Washington, Santa Rosa Beach, FL 32459 | 2020-11-04 |
| 1235783218 | Camilla Ruth Chacon | Nurse Practitioner | 4821 Highway 98 West, Suite 104, Santa Rosa Beach, FL 32459 | 2019-07-29 |
| 1942797287 | Lauren Mank | Assistant Behavior Analyst | 67 Hiker St Fl 32459, Santa Rosa Beach, FL 32459 | 2018-04-20 |
| 1740781137 | Imaging Institute LLC | Radiology | 6757 Us Hwy 98 W Ste 301, Santa Rosa Beach, FL 32459 | 2018-02-22 |
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| 1215485230 | Tamra Snook | Social Worker | 156 N County Highway 393 Unit 1, Santa Rosa Beach, FL 32459 | 2016-09-19 |
| 1437605730 | Alexandra Armstrong | Physical Therapist | 249 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459 | 2016-08-28 |
| 1386097749 | Itetra Smith | Behavior Technician | 67 Hiker St, Santa Rosa Beach, FL 32459 | 2016-07-20 |
| 1730527086 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Drive, Santa Rosa Beach, FL 32459 | 2013-06-10 |
| 1114269768 | Pamela Jean Skaff | Dentist | 101 Lecom Way, Defuniak Springs, FL 32459 | 2013-03-21 |
| Find all providers in zip 32459 | ||||
| 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 |
|---|---|---|---|---|
| 1073136826 | Randi Ann Slaughter | Speech-Language Pathologist | 93 Dune Lakes Cir Unit M202, Santa Rosa Beach, FL 32459-8392 | 2020-05-27 |
| 1245701192 | Hannah Maggio | Speech-Language Pathologist | 305 Mack Bayou Rd Ste 100, Santa Rosa Beach, FL 32459-7199 | 2018-12-17 |
| 1659804839 | Laurie A. Borick | Speech-Language Pathologist | 26 Pointe Ct, Santa Rosa Beach, FL 32459-4318 | 2017-04-05 |
| 1023346848 | Lisa Guerra Pisa | Speech-Language Pathologist | 1789 Driftwood Point Rd, Santa Rosa Beach, FL 32459-3032 | 2009-12-07 |
| 1033285002 | Sandra M Ganas | Speech-Language Pathologist | 9 Wild Blueberry Way, Santa Rosa Beach, FL 32459-5682 | 2006-11-28 |
| 1548578057 | Sandra D. Moody | Speech-Language Pathologist | 174 Watercolor Way, Suite 103 Box 324, Santa Rosa Beach, FL 32459-7350 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578135 | Jennifer Savary Duggar | Speech-Language Pathologist | 744 Lonnie Raker Ln, Crawfordville, FL 32327-0125 | 2020-11-02 |
| 1952900458 | Emily Morgan Thomas | Speech-Language Pathologist | 4141 Ashton Club Dr, Lake Wales, FL 33859-5703 | 2020-10-26 |
| 1558960005 | Amanda Lacroix | Speech-Language Pathologist | 1333 Gateway Dr, Melbourne, FL 32901-2646 | 2020-10-25 |
| 1417556952 | Global Speech Pathology, LLC | Speech-Language Pathologist | 3882 Sand Dune Ct, Destin, FL 32541-3210 | 2020-10-24 |
| 1609475094 | Erika Michele Moorman | Speech-Language Pathologist | 1031 Seminole Dr, Fort Lauderdale, FL 33304-3243 | 2020-10-18 |
| 1396343984 | Roxana Gonzalez Corp | Speech-Language Pathologist | 13965 Sw 160th Ter, Miami, FL 33177-1907 | 2020-10-15 |
| 1518564202 | Christie L Williams | Speech-Language Pathologist | 4715 Nw 28th Ter, Gainesville, FL 32605-1105 | 2020-10-06 |
| 1598362204 | Speech of Miami Inc | Speech-Language Pathologist | 671 Biltmore Way Apt 503, Coral Gables, FL 33134-7502 | 2020-10-06 |
| 1043817836 | Cassandra Grace Cuyler | Speech-Language Pathologist | 5458 Town Center Rd Ste 1, Boca Raton, FL 33486-1026 | 2020-10-05 |
| 1386241354 | Justina J Falcone | Speech-Language Pathologist | 3223 Sw 15th Pl, Cape Coral, FL 33914-1505 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA BEACH |
| Zip Code | 32459 |
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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.