LEA ANGELICA BOLLOZOS TANSECO (NPI# 1568077915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568077915 |
| Entity Type | Individual |
| Full Name | LEA ANGELICA BOLLOZOS TANSECO |
| Practice Address |
197 Thomas Johnson Dr Ste B Frederick MD 21702-4314 |
| Mailing Address |
5440 Adamstown Commons Dr Adamstown MD 21710-8922 |
| Practice Telephone | 8667273422 |
| Mailing Telephone | 4435199810 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
197 THOMAS JOHNSON DR STE B |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566051 | Michelle Celeste Mcgregor | Physical Therapist | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2005-11-21 |
| 1801406319 | Ryan James Butler | Physical Therapist | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2020-08-10 |
| 1811450802 | Rachel Hensberger | Occupational Therapist | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2019-04-08 |
| 1427522515 | Thomas Westwood | Physical Therapy Assistant | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2019-01-11 |
| 1275003584 | Lisa Dover | Physical Therapy Assistant | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2018-11-29 |
| 1588134803 | Cindel Hollenshead | Physical Therapy Assistant | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2018-11-29 |
| 1760951883 | Emily Anne St.louis | Physical Therapy Assistant | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2018-11-19 |
| 1225503154 | Shelby K Woods | Physical Therapist | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2018-10-08 |
| 1104307610 | Maxwell Collins | Physical Therapist | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2018-08-22 |
| 1982117925 | Renee Lawyer | Physical Therapy Assistant | 197 Thomas Johnson Dr Ste B, Frederick, MD 21702-4314 | 2017-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1073121901 | Gwendolyn Emerson | Speech-Language Pathologist | 194 Thomas Johnson Dr Ste B, Frederick, MD 21702-4683 | 2020-07-16 |
| 1205453263 | Morgan Alexander | Speech-Language Pathologist | 312 Rockwell Ter, Frederick, MD 21701-4912 | 2020-06-25 |
| 1831719871 | Divya Bhakta | Speech-Language Pathologist | 5525 Ballenger Creek Pike, Frederick, MD 21703-7015 | 2020-04-20 |
| 1396364642 | Lauren Fraser | Speech-Language Pathologist | 9351 Barrington Ct, Frederick, MD 21701-7695 | 2020-04-15 |
| 1508338302 | Lindsay Elizabeth Crable | Speech-Language Pathologist | 5898 Hannover Dr, Frederick, MD 21703-2856 | 2018-12-19 |
| 1336611078 | Jessica Prall | Speech-Language Pathologist | 7007 Edgemont Rd, Frederick, MD 21702-3575 | 2018-12-19 |
| 1942772686 | Robyn Hill | Speech-Language Pathologist | 3601 Carriage Hill Dr, Frederick, MD 21704-7344 | 2018-12-19 |
| 1447721758 | Deborah Lynn Kaas | Speech-Language Pathologist | 11820 Liberty Rd, Frederick, MD 21701-2670 | 2018-12-13 |
| 1588135198 | Karen Mohardt | Speech-Language Pathologist | 601 Contender Way, Frederick, MD 21703-4824 | 2018-12-07 |
| 1013487891 | Matthew Lalli | Speech-Language Pathologist | 201 Waverley Dr, Frederick, MD 21702-3802 | 2018-12-05 |
| Find all providers in FREDERICK | ||||
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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.