MAKENZIE RAE LOGAN (NPI# 1417436148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417436148 |
Entity Type | Individual |
Full Name | MAKENZIE RAE LOGAN |
Practice Address |
1401 High School Dr Bellevue NE 68005-3274 |
Mailing Address |
2600 Arboretum Dr Bellevue NE 68005-3501 |
Practice Telephone | 4022934150 |
Mailing Telephone | 4022934000 |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 2018010907 | NE | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUECROSS BLUESHIELD OF ILLINOIS | TFZ826226512 | 01 |
Street Address |
1401 HIGH SCHOOL DR |
City | BELLEVUE |
State | NE |
Zip Code | 68005-3274 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568407575 | Jennifer Dayle Hudson-carda | Specialist/Technologist | 1401 High School Dr, Bellevue, NE 68005-3275 | 2006-06-17 |
1740764489 | Susan Jones | Social Worker | 1401 High School Dr, Bellevue, NE 68005-3275 | 2018-09-19 |
1609377282 | Lu Ellen Schorle | Registered Nurse | 1401 High School Dr, Bellevue, NE 68005-3275 | 2018-02-28 |
1174048847 | Jana Rae Steiner | Speech-Language Pathologist | 1401 High School Dr, Bellevue, NE 68005-3275 | 2017-08-03 |
1720417942 | Blake Lewis | Speech-Language Pathologist | 1401 High School Dr, Bellevue, NE 68005-3275 | 2013-11-07 |
1427393347 | Evelyn M. Nelson | Speech-Language Pathologist | 1401 High School Dr, Bellevue, NE 68005-3275 | 2012-12-04 |
1194837617 | Richard E Nelson | Specialist/Technologist | 1401 High School Dr, Bellevue, NE 68005-3275 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
Find all providers in zip 68005 |
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 |
---|---|---|---|---|
1497317127 | Carolyn Kensett Karinen | Speech-Language Pathologist | 12727 Northup Way Ste 1, Bellevue, WA 98005-1917 | 2019-07-02 |
1932661337 | Megan Clark | Speech-Language Pathologist | 5150 Village Park Dr Se Ste 2, Bellevue, WA 98006-6652 | 2019-04-03 |
1093276347 | Tokativ | Speech-Language Pathologist | 12 Lummi Ky, Bellevue, WA 98006-1016 | 2019-03-28 |
1376062505 | James Engracia | Speech-Language Pathologist | 5150 Village Park Dr Se Ste 200, Bellevue, WA 98006-6653 | 2017-09-19 |
1285159954 | Alexa Yvonne Krumwiede | Speech-Language Pathologist | 14110 Tregaron Dr, Bellevue, NE 68123-3724 | 2017-08-03 |
1033645338 | Benoliel Speech and Language, Pllc | Speech-Language Pathologist | 2820 Northup Way Ste 120, Bellevue, WA 98004-1419 | 2017-05-04 |
1497298269 | Dakila Marcelino | Speech-Language Pathologist | 3705 Chandler Rd W, Bellevue, NE 68147-1123 | 2016-11-29 |
1396295549 | Majken Marie Eckels | Speech-Language Pathologist | 8210 S 42nd St, Bellevue, NE 68147-1705 | 2016-10-12 |
1508314766 | Sarah Elizabeth Anderson | Speech-Language Pathologist | 2600 Arboretum Dr, Bellevue, NE 68005-3501 | 2016-09-16 |
1457807505 | Amber Detter | Speech-Language Pathologist | 4003 Raynor Pkwy, 1313, Bellevue, NE 68123-6116 | 2016-08-29 |
Find all providers in BELLEVUE |
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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.