BROOKE J TRUEBLOOD (NPI# 1396275137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396275137 |
Entity Type | Individual |
Full Name | BROOKE J TRUEBLOOD |
Credential | SLP-A |
Practice Address |
1160 Joliet St Ste 102 Dyer IN 46311-3087 |
Practice Telephone | (219) 440-7930 |
Practice Fax Number | 2194407931 |
Mailing Telephone | 2194407930 |
Mailing Fax Number | 2194407931 |
Enumeration Date | 2017-06-14 |
Last Update Date | 2017-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
29001725A | IN | Speech, Language and Hearing Service Providers |
Street Address |
1160 JOLIET ST STE 102 |
City | DYER |
State | IN |
Zip Code | 46311-3087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255809950 | Mary Sohl | Occupational Therapist | 1160 Joliet St Ste 102, Dyer, IN 46311-3087 | 2018-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
Find all providers in zip 46311 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
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1801351259 | Alicia Iles | Specialist/Technologist | 1514 Clifton Ave, Logansport, IN 46947-1420 | 2019-02-08 |
1306310420 | Kristin Meredith O'neal | Specialist/Technologist | 6998 S County Road 580 E, Kirklin, IN 46050-8802 | 2019-01-12 |
1417324500 | Diane Lehr | Specialist/Technologist | 169 Cimarron Dr, Valparaiso, IN 46385-7307 | 2015-08-25 |
1730404534 | Grace J Mckinley | Specialist/Technologist | 3313 Bunting Ln, Lafayette, IN 47909-6828 | 2010-04-05 |
1285620278 | Aaron Blaine Winchester | Specialist/Technologist | 8976 Crystal Lake Dr, Indianapolis, IN 46240-6413 | 2005-09-23 |
1114545910 | Tabitha Leigh Ford | Specialist/Technologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2020-07-08 |
1578187423 | Candy Adriana Capilla | Specialist/Technologist | 216 N 5th St, Lafayette, IN 47901-2811 | 2020-06-05 |
1912543554 | Angela Gusakoska | Specialist/Technologist | 2906 Highway Ave, Highland, IN 46322-1631 | 2019-11-19 |
1295387090 | Stephanie Rene Hare-chinn | Specialist/Technologist | 6100 Miller Ave, Gary, IN 46403-2469 | 2019-07-11 |
1861966004 | Lindsey Marie Secoy | Specialist/Technologist | 4900 Shamrock Dr Ste 100-102, Evansville, IN 47715-7325 | 2019-01-21 |
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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.