MS. BETHANY MARIE KISNER-CROSBY (NPI# 1518096833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518096833 |
| Entity Type | Individual |
| Full Name | MS. BETHANY MARIE KISNER-CROSBY |
| Credential | MA-SLP-CCC-L |
| Practice Address |
247 Tilton Park Dr Dekalb IL 60115-1955 |
| Practice Telephone | 8157391452 |
| Practice Fax Number | 8157565359 |
| Mailing Telephone | 8157391452 |
| Mailing Fax Number | 8157565359 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146005808 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01926198 | 01 |
| Street Address |
247 TILTON PARK DR |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417518309 | Erica Weber | Speech-Language Pathologist | 247 Tilton Park Dr, Dekalb, IL 60115-1955 | 2019-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| 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 |
|---|---|---|---|---|
| 1215402276 | Heidi Pittsley | Speech-Language Pathologist | 213 Windsor Dr, Dekalb, IL 60115-2361 | 2018-10-05 |
| 1275985764 | Kortney Flowers | Speech-Language Pathologist | 937 S 6th St, Dekalb, IL 60115-4518 | 2016-07-07 |
| 1508091992 | Nancy Sue Fine | Speech-Language Pathologist | 136 Holly St, Dekalb, IL 60115-3926 | 2009-05-28 |
| 1679714026 | Jamie Mayer | Speech-Language Pathologist | 3100 Sycamore Road, Niu Speech-language-hearing Clinic, Dekalb, IL 60115 | 2009-03-16 |
| 1265682652 | Emily Shears | Speech-Language Pathologist | 106 Wendell Pl, Dekalb, IL 60115-4420 | 2008-09-23 |
| 1235315748 | Brian Patrick Gavin | Speech-Language Pathologist | 573 Bush St, Dekalb, IL 60115-4018 | 2008-01-15 |
| 1679795371 | Patricia Vollstedt | Speech-Language Pathologist | 1221 Quail Run, Dekalb, IL 60115-6113 | 2007-05-03 |
| 1255491353 | Lilli A Shembor Bishop | Speech-Language Pathologist | 1lucinda Avenue, Northern Illinois Univ., Speech-language-hearing Clinic, Dekalb, IL 60115-2899 | 2006-12-11 |
| 1720153612 | Sharon Anne Hollister | Speech-Language Pathologist | 1 Lucinda Ave, Dekalb, IL 60115 | 2006-11-24 |
| 1689764177 | Jennifer Marie Heinisch | Speech-Language Pathologist | 1 Lucinda Ave., Niu Speech-language Hearing Clinic, Dekalb, IL 60115-2899 | 2006-10-13 |
| Find all providers in DEKALB | ||||
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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.