SHELBI POLVADO (NPI# 1457974024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457974024 |
| Entity Type | Individual |
| Full Name | SHELBI POLVADO |
| Credential | CCC-SLP |
| Practice Address |
508 Stocktrail Ave Ste D Gillette WY 82716-3582 |
| Mailing Address |
Po Box 3011 Gillette WY 82717-3011 |
| Practice Telephone | 3076888000 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | SP3071 | ME | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SP-1071 | WY | Speech, Language and Hearing Service Providers |
| Street Address |
508 STOCKTRAIL AVE STE D |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699203372 | Lisa Haugen | Physical Therapist | 508 Stocktrail Ave Ste D, Gillette, WY 82716-3582 | 2017-05-25 |
| 1982266094 | Laura Allen | Occupational Therapist | 508 Stocktrail Ave Ste D, Gillette, WY 82716-3582 | 2019-06-28 |
| 1760954101 | Kasidy Kane Litzel | Physical Therapist | 508 Stocktrail Ave Ste D, Gillette, WY 82716-3582 | 2018-12-26 |
| 1467980821 | Tisha Marie Foster Carlson | Physical Therapist | 508 Stocktrail Ave Ste D, Gillette, WY 82716-3582 | 2017-05-30 |
| 1073041646 | Lauren Mullaney | Occupational Therapist | 508 Stocktrail Ave Ste D, Gillette, WY 82716-3582 | 2017-05-26 |
| 1932637501 | Janine Nicole Albert | Occupational Therapist | 508 Stocktrail Ave Ste D, Gillette, WY 82716-3582 | 2017-05-26 |
| 1285162842 | Jordan Soloai | Physical Therapist | 508 Stocktrail Ave Ste D, Gillette, WY 82716-3582 | 2017-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| 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 |
|---|---|---|---|---|
| 1396369369 | Innovative Therapy Solutions, LLC | Speech-Language Pathologist | 300 S Gillette Ave Ste 1301, Gillette, WY 82716-3733 | 2020-06-04 |
| 1740833623 | Tanner Low | Speech-Language Pathologist | 1000 S Douglas Hwy, Gillette, WY 82716-4908 | 2019-07-19 |
| 1396265765 | Kara J Roberts | Speech-Language Pathologist | 7301 Stone Crest Dr, Gillette, WY 82718-4086 | 2017-06-26 |
| 1073139762 | Suzanne Marie Eastman | Speech-Language Pathologist | 1801 S 4j Rd, Gillette, WY 82718-5201 | 2020-06-18 |
| 1720625098 | Madeline Neal | Speech-Language Pathologist | 1211 S Douglas Hwy, Gillette, WY 82716-4949 | 2019-12-05 |
| 1295393361 | Mikal Ann Thoren | Speech-Language Pathologist | 1801 S 4j Rd, Gillette, WY 82718-5201 | 2019-06-03 |
| 1326588922 | Cammie Paschall | Speech-Language Pathologist | 1801 S 4j Rd, Gillette, WY 82718-5201 | 2017-03-01 |
| 1720528748 | Carli Ausmann | Speech-Language Pathologist | 1801 S 4j Rd, Gillette, WY 82718-5201 | 2017-02-24 |
| 1376081935 | Janell Tabbert | Speech-Language Pathologist | 1801 S 4j Rd, Gillette, WY 82718-5201 | 2017-02-03 |
| 1801334479 | Leah Fortner | Speech-Language Pathologist | 1801 S 4j Rd, Gillette, WY 82718-5201 | 2017-02-03 |
| Find all providers in GILLETTE | ||||
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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.