KIMBERLY ANTUSHEVICH ROMAN (NPI# 1366917551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366917551 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANTUSHEVICH ROMAN |
| Practice Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Mailing Address |
44300 Dequindre Rd Sterling Heights MI 48314-1003 |
| Practice Telephone | 2489640660 |
| Practice Fax Number | 2489640665 |
| Mailing Telephone | 2489640660 |
| Mailing Fax Number | 2489640665 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101001147 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497193668 | Kimberly Ann Roman | Registered Nurse | 3901 Beaubien St, Detroit, MI 48201-2119 | 2013-06-11 |
| 1598057184 | Kimberly Ann Roman | Pharmacist | 111 Kruger St, Wheeling, WV 26003-5120 | 2011-05-13 |
| 1104893817 | Kimberly Waynette Roman | Family Medicine | 1851 N Mckenzie St Ste 101, Foley, AL 36535-4703 | 2006-03-01 |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892468 | Mary Margaret Guerra | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2005-06-28 |
| 1578163523 | Laura Marie Metz | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-29 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1437756095 | Amanda Michelle Hirsch | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-07 |
| 1467059113 | Scott Matthew Grumeretz | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1285231944 | Brianne Patton | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
| 1720694300 | Justine Marie Doss | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-19 |
| 1649885872 | Sara Dawn Thueme | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-14 |
| 1316561772 | Jodi Marini | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| 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 |
|---|---|---|---|---|
| 1609480516 | Now We're Talking Pllc | Speech-Language Pathologist | 3847 Kings Point Dr, Troy, MI 48083-5320 | 2020-09-08 |
| 1891308664 | Theresa Ann Dahmer | Speech-Language Pathologist | 5105 Somerton Dr, Troy, MI 48085-3252 | 2020-08-31 |
| 1336770577 | Bailey Shafer | Speech-Language Pathologist | 8294 Castle Ridge Dr, Troy, IL 62294-2860 | 2020-01-27 |
| 1629618236 | Karly Marie Chasney | Speech-Language Pathologist | 205 W Square Lake Rd, Troy, MI 48098-2931 | 2020-01-11 |
| 1497300586 | Jodi Niehoff | Speech-Language Pathologist | 1190 Old Cap Au Gris Rd, Troy, MO 63379-2300 | 2019-08-06 |
| 1548829039 | Jill Nicole Elliott | Speech-Language Pathologist | 59 Harris Rd Apt 103, Troy, NY 12182-1644 | 2019-06-10 |
| 1902462310 | Monica S Marciniak | Speech-Language Pathologist | 830 Kirts Blvd # 305, Troy, MI 48084-4892 | 2019-05-13 |
| 1205330941 | Marcia Diane Exner | Speech-Language Pathologist | 5877 Livernois Rd Ste 101, Troy, MI 48098-3100 | 2018-03-19 |
| 1356843411 | Elizabeth Mikolajczak | Speech-Language Pathologist | 3756 Forge Dr, Troy, MI 48083-5640 | 2018-03-05 |
| 1619483922 | Lauren Williams | Speech-Language Pathologist | 174 Dogwood Ave, Troy, NC 27371-8528 | 2017-12-21 |
| Find all providers in TROY | ||||
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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.