BOBBETTE LOU TRACE (NPI# 1457474702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457474702 |
Entity Type | Individual |
Full Name | BOBBETTE LOU TRACE |
Credential | M.A., CCC-SLP |
Practice Address |
2529 Lena Ct Minden NV 89423-7021 |
Practice Telephone | 8147951635 |
Mailing Telephone | 8147951635 |
Enumeration Date | 2007-04-09 |
Last Update Date | 2013-04-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 235Z00000X | Speech-Language Pathologist | SP-1366 | NV | Speech, Language and Hearing Service Providers |
Y | 235Z00000X | Speech-Language Pathologist | SL007402 | PA | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK BLUE CROSS | 001444546 | 01 |
PA | 1010232180002 | 05 |
Street Address |
2529 LENA CT |
City | MINDEN |
State | NV |
Zip Code | 89423-7021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
Find all providers in zip 89423 |
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 |
---|---|---|---|---|
1194295808 | Sherry Alis Merritt | Speech-Language Pathologist | 1515 Miller Rd., Minden, LA 71055-7105 | 2018-11-26 |
1336505981 | Heather Mccullough | Speech-Language Pathologist | 1304 Whispering Pines Dr, Minden, LA 71055-9054 | 2016-01-12 |
1366816373 | Alyssa Schneider | Speech-Language Pathologist | 427 N. Park St., Minden, NE 68959 | 2015-11-15 |
1376935320 | Emily Watkins | Speech-Language Pathologist | 219 Pecanview Dr, Minden, LA 71055-2048 | 2015-02-27 |
1184054215 | Jana Maree Green | Speech-Language Pathologist | 447 S Logan Ave, 123 North Minden Avenue, Minden, NE 68959-1844 | 2013-11-27 |
1083944227 | Donna K. Scroggins | Speech-Language Pathologist | 107 Chandler Cir, Minden, LA 71055-2546 | 2010-01-11 |
1093229460 | Asa Paul Warren | Speech-Language Pathologist | 400 Meadowview Dr, Minden, LA 71055-3522 | 2017-11-21 |
1033581392 | Melissa Klabunde | Speech-Language Pathologist | 520 W 3rd St, Minden, NE 68959-1426 | 2015-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255938270 | Samantha Gregory | Speech-Language Pathologist | 2490 Paseo Verde Pkwy Ste 115, Henderson, NV 89074-7121 | 2020-10-02 |
1205441417 | Tomiko Ihara | Speech-Language Pathologist | 4120 Falling Water Dr, Reno, NV 89519-2163 | 2020-09-14 |
1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
1437767365 | Mary Anderson | Speech-Language Pathologist | 2400 S Cimarron Rd Ste 110, Las Vegas, NV 89117-7902 | 2020-07-16 |
1801413067 | Jenna M Cazzaro | Speech-Language Pathologist | 9764 Derbyhill Cir, Las Vegas, NV 89117-6683 | 2020-07-02 |
1174144877 | Bailey Koebernick | Speech-Language Pathologist | 8856 Brindisi Park Ave, Las Vegas, NV 89148-5901 | 2020-05-04 |
1821618612 | Sherry Perucho | Speech-Language Pathologist | 7760 Cape Cod Bay Ct, Las Vegas, NV 89179-1425 | 2020-04-21 |
1528687605 | Monika Radom-davis | Speech-Language Pathologist | 2820 W Charleston Blvd Ste 38, Las Vegas, NV 89102-1934 | 2020-04-09 |
1033746375 | True Speech Therapy LLC | Speech-Language Pathologist | 2100 Sierra Sage Ln, Reno, NV 89509-8206 | 2020-03-26 |
1528694866 | Hazel Lacanienta | Speech-Language Pathologist | 11731 Longworth Rd, Las Vegas, NV 89135-1322 | 2020-03-18 |
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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.