MRS. JESSICA LYN GIBBONS (NPI# 1356517460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356517460 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LYN GIBBONS |
| Credential | M.A. CCC-SLP |
| Practice Address |
2937 Route 611 Unit 15 Tannersville PA 18372-6000 |
| Mailing Address |
1932 Kirtley Ct Blakeslee PA 18610-7911 |
| Practice Telephone | 5702368380 |
| Practice Fax Number | 5703554097 |
| Mailing Telephone | 5702368380 |
| Mailing Fax Number | 5703554097 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 225XF0002X |
Occupational Therapist Specialization: Feeding, Eating & Swallowing |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1932 Kirtley Ct, Blakeslee, PA 186107911 | 5702368380 | 5703554097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548754898 | Jessica Gibbons | Social Worker | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2018-06-20 |
| 1952398307 | Jessica R Gibbons | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-30 |
| Street Address |
2937 ROUTE 611 UNIT 15 |
| City | TANNERSVILLE |
| State | PA |
| Zip Code | 18372-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871905059 | Sugar Plum Speech | Occupational Therapist | 2937 Route 611 Unit 15, Tannersville, PA 18372 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831668540 | Amy Nicole Mariano | Pharmacist | Rt 611 Tannersville Plaza, Tannersville, PA 18372 | 2018-11-26 |
| 1316462757 | Elizabeth Jane Kilpatrick | Dentist | 2796 Pa-611, Tannersville, PA 18372 | 2017-08-07 |
| 1700236825 | Corinne Elizabeth Belanger | Optometrist | 2942 Route 611 Ste 105, Tannersville, PA 18372 | 2016-06-20 |
| 1316158322 | Geisinger Clinic | Physician Assistant | 1575 State Rte 611, Tannersville, PA 18372 | 2007-05-24 |
| 1205961075 | Anne A. Geiger | Optometrist | Rr1, Rt. 611 Fountain Springs East #6, Tannersville, PA 18372 | 2007-02-22 |
| 1942366497 | Bethel Elaine Sucro | Counselor | Rr1 Route 611, Tannersville, PA 18372 | 2006-12-29 |
| 1831297456 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 413 Rr 1 Rte 611, Tannersville, PA 18372 | 2006-09-20 |
| 1255347381 | Jeffrey Robert Wert | Dentist | Route 611, Box 485, Tannersville, PW 18372 | 2006-07-31 |
| 1912477654 | Kavita Patel | Pharmacist | Rt 611 Tannersville Plaza, Tannersville, PA 18372 | 2018-11-26 |
| 1679770424 | Dianne C. Hickok | Nurse Practitioner | Rt 611, Tannersville Plaza, Tannersville, PA 18372 | 2007-06-27 |
| Find all providers in zip 18372 | ||||
| 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 |
|---|---|---|---|---|
| 1336402627 | Lori Zerhouane | Speech-Language Pathologist | 200 Bon Sher Dr, Tannersville, PA 18372-7740 | 2012-06-21 |
| 1295028827 | Caroline Duarte | Speech-Language Pathologist | 246 Stadden Rd Ste 103, Tannersville, PA 18372-7944 | 2011-05-16 |
| 1366901985 | Vine Speech Pathology, Corp. | Speech-Language Pathologist | 246 Stadden Rd Ste 103, Tannersville, PA 18372-7944 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043390 | Haley White | Speech-Language Pathologist | 716 N Bethlehem Pike Ste 103, Lower Gwynedd, PA 19002-2656 | 2020-11-05 |
| 1841891975 | Devin Jill Kuronya | Speech-Language Pathologist | 1471 1st St, Bethlehem, PA 18020-6426 | 2020-11-04 |
| 1265032395 | Amanda Chalofsky | Speech-Language Pathologist | 760 Newtown Yardley Rd Ste 121, Newtown, PA 18940-4500 | 2020-10-28 |
| 1942808894 | Jessica Lynn Walls | Speech-Language Pathologist | 2574 Hogback Hill, Mineral Springs, PA 16855 | 2020-10-13 |
| 1821696931 | Abigail Stern | Speech-Language Pathologist | 4827 Umbria St, Philadelphia, PA 19127-1916 | 2020-10-12 |
| 1972100386 | Brittany Furnari | Speech-Language Pathologist | 220 Jameson Way, Seven Fields, PA 16046-4336 | 2020-10-08 |
| 1427655885 | Nicole Crinella | Speech-Language Pathologist | 1232 Livey St, Archbald, PA 18403-2334 | 2020-10-07 |
| 1679170468 | Help Me Grow Therapeutic Services, LLC | Speech-Language Pathologist | 310 N Lehigh St, Tamaqua, PA 18252-1126 | 2020-10-05 |
| 1750988754 | Jennifer M Lisberger | Speech-Language Pathologist | 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 | 2020-10-04 |
| 1942807102 | On Your Voice LLC | Speech-Language Pathologist | 835 Rock Ln, Elkins Park, PA 19027-1213 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | TANNERSVILLE |
| Zip Code | 18372 |
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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.