KIRKSVILLE SPEECH AND SWALLOW CLINIC LLC (NPI# 1346869310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346869310 |
Entity Type | Organization |
Organization Name | KIRKSVILLE SPEECH AND SWALLOW CLINIC LLC |
Practice Address |
1 Crown Dr Ste 203 Kirksville MO 63501-2510 |
Mailing Address |
20863 Oak Tree Trl Kirksville MO 63501-7313 |
Practice Telephone | 8166454810 |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-04-10 |
Authorized Official Name | KELLI MAEDER (OWNER) |
Authorized Official Telephone | 8166454810 |
Authorized Official Credential | MS, CCC-SLP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
Street Address |
1 CROWN DR STE 203 |
City | KIRKSVILLE |
State | MO |
Zip Code | 63501-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780057034 | Tina Marie Zeman | Speech-Language Pathologist | 1 Crown Dr Ste 203, Kirksville, MO 63501-2510 | 2015-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
Find all providers in zip 63501 |
Taxonomy Code | 261QH0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Hearing and Speech |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992328132 | Sweet Sounds Speech Therapy | Clinic/Center | 304 S Franklin St Ste 300, Kirksville, MO 63501-3581 | 2020-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710591987 | Hear 4 Life, LLC | Clinic/Center | 2719 W Walnut St, Springfield, MO 65802-4744 | 2020-09-03 |
1134780877 | Royalty Speech Therapy of Joplin, LLC | Clinic/Center | 127 Forest Dr, Carl Junction, MO 64834-9613 | 2019-06-24 |
1659831535 | Northland Hearing Centers, Inc. | Clinic/Center | 1004 Middlebrook Dr Ste A, Liberty, MO 64068-1993 | 2019-03-25 |
1467912337 | Northland Hearing Centers, Inc. | Clinic/Center | 18931 E Valley View Pkwy Ste B, Independence, MO 64055-7013 | 2019-03-25 |
1740740166 | Northland Hearing Centers, Inc | Clinic/Center | 487 Ne Coronado Dr, Blue Springs, MO 64014-3000 | 2019-03-21 |
1568952935 | Communication Studio Therapy | Clinic/Center | 1500 Nw Mock Ave Ste C, Blue Springs, MO 64015-3101 | 2018-05-11 |
1639610199 | As We Speak | Clinic/Center | 1436 Prospect Lakes Dr, Wentzville, MO 63385-4903 | 2017-03-16 |
1033653001 | Open Doors Speech Therapy LLC | Clinic/Center | 629 E Harrison St, Republic, MO 65738-1324 | 2016-12-11 |
1003211798 | Therapy Unlimited | Clinic/Center | 4603 John Garry Drive Ste 10, Columbia, MO 65203 | 2014-10-24 |
1780014142 | Accuquest Hearing Centers LLC | Clinic/Center | 779 S Odell Ave, Suite 5, Marshall, MO 65340-2569 | 2013-11-22 |
Find all providers with the same taxonomy |
City | KIRKSVILLE |
Zip Code | 63501 |
Please comment or provide details below to improve the information on KIRKSVILLE SPEECH AND SWALLOW CLINIC LLC.
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.