MRS. KELLY J MCCORMICK (NPI# 1477905966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477905966 |
| Entity Type | Individual |
| Full Name | MRS. KELLY J MCCORMICK |
| Credential | M.H.S., CCC-SLP/L |
| Practice Address |
1359 Plum Creek Dr Bourbonnais IL 60914-1533 |
| Practice Telephone | 8159558577 |
| Mailing Telephone | 8159558577 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.013702 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801264528 | Kelly J Mccormick | Counselor | 8810 Torchwood Dr, Trinity, FL 34655-5333 | 2015-09-11 |
| 1851490650 | Kelly A Mccormick | Chiropractor | 5101 Old Highway 5 Ste 1, Woodstock, GA 30188 | 2006-09-21 |
| 1801431259 | Kelly Ann Mccormick | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2019-11-08 |
| 1790347961 | Kelly Mccormick | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2019-07-08 |
| 1447815857 | Kelly Nicole Mccormick | Nurse Practitioner | 1401 Nicholasville Rd, Lexington, KY 40503-1140 | 2019-05-01 |
| 1497102784 | Kelly Alexander Mccormick | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II; Suite 106, Birmingham, AL 35211-1333 | 2016-05-17 |
| 1922455328 | Kelly Mccormick | Physical Therapist | 3201 Farnam St Ste 6110, Omaha, NE 68131-3405 | 2016-05-16 |
| 1932534039 | Kelly Mccormick | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-09-08 |
| 1770867335 | Kelly Mccormick | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2011-09-30 |
| 1912211749 | Kelly Marie Mccormick | Social Worker | 1450 Chapel St, 2nd Floor- Haelen Center, New Haven, CT 06511-4405 | 2010-08-04 |
| Street Address |
1359 PLUM CREEK DR |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| 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 |
|---|---|---|---|---|
| 1447729157 | Molly Lovell | Speech-Language Pathologist | 30 Emery Dr, Bourbonnais, IL 60914-1010 | 2018-11-26 |
| 1225544059 | Alison Latham | Speech-Language Pathologist | 325 N Convent St, Bourbonnais, IL 60914-2015 | 2017-12-15 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1598274714 | Kathleen Marie Austin | Speech-Language Pathologist | 299 Belmont Ave, Bourbonnais, IL 60914-2055 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1366672644 | Jennifer D Ascher | Speech-Language Pathologist | 1554 Carver Cir, Bourbonnais, IL 60914-4713 | 2009-07-21 |
| 1770590218 | Crystal Renee Daniel | Speech-Language Pathologist | 14 Exeter Turn, Bourbonnais, IL 60914-1612 | 2006-08-01 |
| 1629628805 | Emily Rose Tlapa | Speech-Language Pathologist | 1554 Carver Cir, Bourbonnais, IL 60914-4713 | 2019-09-19 |
| 1275049009 | Dorothy Ann Jones | Speech-Language Pathologist | 281 W John Casey Rd, Bourbonnais, IL 60914-1392 | 2017-12-15 |
| 1194231936 | Sarah Sikma | Speech-Language Pathologist | 281 W John Casey Rd, Bourbonnais, IL 60914-1392 | 2017-12-15 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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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.