SUSANNA C MCKINLEY (NPI# 1457840712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457840712 |
Entity Type | Individual |
Full Name | SUSANNA C MCKINLEY |
Practice Address |
1333 Wells St Niles MI 49120-1543 |
Mailing Address |
53211 Towhee Ln South Bend IN 46637-5155 |
Practice Telephone | 2696841111 |
Enumeration Date | 2018-05-02 |
Last Update Date | 2018-05-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 235Z00000X | Speech-Language Pathologist | 22001577A | IN | Speech, Language and Hearing Service Providers |
Y | 235Z00000X | Speech-Language Pathologist | 7101005376 | MI | Speech, Language and Hearing Service Providers |
Street Address |
1333 WELLS ST |
City | NILES |
State | MI |
Zip Code | 49120-1543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164413282 | Riveridge Investments & Associates, LLC | Skilled Nursing Facility | 1333 Wells St, Niles, MI 49120-1543 | 2005-10-31 |
1659996973 | Niles Mi Opco LLC | Respite Care | 1333 Wells St, Niles, MI 49120-1543 | 2020-06-11 |
1104318518 | Laurel Gaudin | Occupational Therapy Assistant | 1333 Wells St, Niles, MI 49120-1543 | 2018-05-31 |
1063900421 | Taylor Palmer | Physical Therapy Assistant | 1333 Wells St, Niles, MI 49120-1543 | 2018-05-01 |
1578051942 | Elise Danielle Von Henner | Occupational Therapy Assistant | 1333 Wells St, Niles, MI 49120-1543 | 2018-05-01 |
1790273217 | Nicholas Stapert | Occupational Therapist | 1333 Wells St, Niles, MI 49120-1543 | 2018-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
Find all providers in zip 49120 |
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 |
---|---|---|---|---|
1386112530 | Chelsea Jane Heitz | Speech-Language Pathologist | 8955 N Greenwood Ave, Niles, IL 60714-1416 | 2018-11-06 |
1053824375 | Diane Kosinski | Speech-Language Pathologist | 8200 W Greendale Ave, Niles, IL 60714-2713 | 2017-11-08 |
1760906028 | Monica Potempa (maso) | Speech-Language Pathologist | 7132 W Lee St, Niles, IL 60714-2222 | 2017-07-28 |
1962939900 | Kathryn L. Fazekas | Speech-Language Pathologist | 960 Frederick St, Niles, OH 44446-2722 | 2017-05-22 |
1407300346 | Acacia Parsons | Speech-Language Pathologist | 950 Youngstown Warren Rd Ste A, Niles, OH 44446-4626 | 2016-08-09 |
1992168967 | Agata Kuczynska | Speech-Language Pathologist | 7764 N Nora Ave, Niles, IL 60714-4740 | 2016-03-29 |
1396143434 | Kara Wert | Speech-Language Pathologist | 6000 Youngstown Warren Rd., Niles, OH 44446-4603 | 2014-12-05 |
1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
1619218492 | Candice Fleischmann | Speech-Language Pathologist | 8142 N Farnsworth Dr, Niles, IL 60714-2703 | 2013-03-04 |
1710234794 | Ann Marie Kowalski | Speech-Language Pathologist | 8722 N Osceola Ave, Niles, IL 60714-2032 | 2012-08-09 |
Find all providers in NILES |
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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.