EASTERSEALS NORTHEAST CENTRAL FLORIDA (NPI# 1417092461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417092461 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS NORTHEAST CENTRAL FLORIDA |
| Practice Address |
1219 Dunn Ave Daytona Beach FL 32114 |
| Mailing Address |
1219 Dunn Ave Daytona Beach FL 32114-2405 |
| Practice Telephone | 3862554568 |
| Practice Fax Number | 3862523403 |
| Mailing Telephone | 3862554568 |
| Mailing Fax Number | 3862523403 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | BEVERLY JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3862554568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740782697 | Easterseals Northeast Central Florida | Behavioral Analyst | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2018-03-07 |
| 1881898559 | Easterseals Northeast Central Florida | Physical Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-06-14 |
| 1326183377 | Easterseals Northeast Central Florida | Clinic/Center | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-02-20 |
| 1336203702 | Easterseals Northeast Central Florida | Voluntary or Charitable | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2006-12-20 |
| 1376631747 | Easterseals Northeast Central Florida | Physical Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERSEALS NORTHEAST CENTRAL FLORIDA | 1219 Dunn Avenue, Daytona Beach, FL 32114-2405 |
| Street Address |
1219 DUNN AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225050289 | Audrey Susan Tyler | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2006-07-25 |
| 1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
| 1043838915 | Rebecca Roberts | Behavior Technician | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-08 |
| 1649897612 | Joy Rogers | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-06-25 |
| 1447882139 | Jill Marie Baxter | Physical Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-02-10 |
| 1740822956 | Sharon Schwab | Occupational Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-10-09 |
| 1376104851 | Kimberly Jackson | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-06-25 |
| 1619435146 | Onisha Johnson | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-03-04 |
| 1265905459 | Romina Henriquez | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-01-10 |
| 1174002463 | Crystal Rich | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1487165916 | Kristina Lynne Greenway | Speech-Language Pathologist | 311 N Clyde Morris Blvd Ste 50, Daytona Beach, FL 32114-2756 | 2017-10-24 |
| 1457891665 | Beverly Koogle Mondloch | Speech-Language Pathologist | 241 Brasswood Ct, Daytona Beach, FL 32117-7127 | 2017-03-07 |
| 1538607718 | Suzanne Mary Mcgregor | Speech-Language Pathologist | 328 Wentworth Ave, Daytona Beach, FL 32124-2060 | 2017-02-07 |
| 1225482367 | Ashley M Rickels | Speech-Language Pathologist | 569 Health Blvd Ste A, Daytona Beach, FL 32114-1499 | 2016-04-14 |
| 1891165502 | Kathleen Odiorne Hanson | Speech-Language Pathologist | 1219 Dunn Avenue, Easter Seals, Daytona Beach, FL 32114 | 2015-10-07 |
| 1972982098 | Aryana B Downs | Speech-Language Pathologist | 228 Bauer Cir, Daytona Beach, FL 32124-2031 | 2015-05-21 |
| 1386999746 | Virginia Ragsdale Gora | Speech-Language Pathologist | 1104 Beville Rd., Daytona Beach, FL 32114 | 2012-07-20 |
| 1326349838 | Jacqueline Mcnamara | Speech-Language Pathologist | 1104 Beville Rd Ste J, Daytona Beach, FL 32114-5765 | 2010-11-15 |
| 1336393354 | Annette Marie Baerga | Speech-Language Pathologist | 324 Perfect Dr, Daytona Beach, FL 32124-2067 | 2008-11-05 |
| 1336288604 | Gayle Belin | Speech-Language Pathologist | 1834 Mason Ave, Daytona Beach, FL 32117-5101 | 2007-02-05 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on EASTERSEALS NORTHEAST CENTRAL FLORIDA.
| 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.