KIMBERLY ANNIE BACKUS-MCCLOY (NPI# 1568697910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568697910 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNIE BACKUS-MCCLOY |
| Credential | M.S. |
| Practice Address |
825 Summit St Spencer WV 25276-1035 |
| Practice Telephone | 3049271007 |
| Mailing Telephone | 3049271007 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0457 | WV | Speech, Language and Hearing Service Providers |
| Street Address |
825 SUMMIT ST |
| City | SPENCER |
| State | WV |
| Zip Code | 25276-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174568836 | Glenmark Associates, Inc. | Skilled Nursing Facility | 825 Summit St, Spencer, WV 25276-1035 | 2006-06-18 |
| 1043747892 | April Jones | Physical Therapy Assistant | 825 Summit St, Spencer, WV 25276-1035 | 2017-05-11 |
| 1376908517 | Ryan Marshall Brabham | Physical Therapy Assistant | 825 Summit St, Spencer, WV 25276-1035 | 2015-12-15 |
| 1669849253 | Aaron Michael Shutts | Physical Therapy Assistant | 825 Summit St, Spencer, WV 25276-1035 | 2015-08-31 |
| 1003242074 | Micki Lynn Townsend | Physical Therapy Assistant | 825 Summit St, Spencer, WV 25276-1035 | 2013-09-22 |
| 1255561684 | Brandy Dawn Higgins | Physical Therapy Assistant | 825 Summit St, Spencer, WV 25276-1035 | 2009-07-20 |
| 1588899033 | Sarah Helbig | Occupational Therapist | 825 Summit St, Spencer, WV 25276-1035 | 2009-05-27 |
| 1265616445 | 825 Summit Street Operations LLC | Skilled Nursing Facility | 825 Summit St, Spencer, WV 25276-1035 | 2007-12-24 |
| 1568581833 | Cami Lynn Watson | Physical Therapist | 825 Summit St, Miletree Center, Spencer, WV 25276-1035 | 2007-03-28 |
| 1952429987 | Mary Elizabeth Byrne | Occupational Therapy Assistant | 825 Summit St, Spencer, WV 25276-1035 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019453 | Patricia Ann May | Technician | 3353 Lick Fork Road, Spencer, WV 25276 | 2017-12-20 |
| 1053518399 | Kelly Jean Fry | Naturopath | 142 East Main St., Spencer, WV 25276 | 2007-06-29 |
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1912068180 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 Locust Ave., Spencer, WV 25276 | 2006-12-12 |
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1669822011 | Julie M Morgan | Physician Assistant | 146 Williams Dr, Spencer, WV 25276 | 2016-06-16 |
| 1326331018 | David Elias Mick | Pharmacist | 218 Market St, Spencer, WV 25276 | 2011-05-27 |
| 1831228733 | Christopher Kyle Mealey | Pharmacist | 200 Hospital Drive, Spencer, WV 25276 | 2007-03-05 |
| 1093860256 | Roane County Emergency Squad, Inc. | Ambulance | 200 East Main Street, Spencer, WV 25276 | 2007-01-25 |
| Find all providers in zip 25276 | ||||
| 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 |
|---|---|---|---|---|
| 1255848644 | Sarah Elizabeth Decoteau | Speech-Language Pathologist | 35 Ash St, Spencer, MA 01562-2364 | 2018-01-07 |
| 1437686045 | Andrea Lussier | Speech-Language Pathologist | 49 Wilson Ave, Spencer, MA 01562-2847 | 2017-05-12 |
| 1477834414 | Jennifer L. Stahlecker | Speech-Language Pathologist | 401 S Marx St, Spencer, NE 68777-3603 | 2011-09-05 |
| 1538313911 | Lisa Trent | Speech-Language Pathologist | 19 Bald Hill Rd, Spencer, NY 14883-9618 | 2008-11-11 |
| 1699924258 | Jody Mailloux | Speech-Language Pathologist | 687 Dawson Hill Rd, Spencer, NY 14883-9704 | 2008-09-18 |
| 1205325867 | Michele Renee Davis | Speech-Language Pathologist | 1404 S Salisbury Ave, Spencer, NC 28159-1921 | 2018-05-08 |
| 1164937181 | Elizabeth O'hare | Speech-Language Pathologist | 1404 S Salisbury Ave, Spencer, NC 28159-1921 | 2017-12-13 |
| 1922466010 | Betthney O'connell | Speech-Language Pathologist | 30575 Jeb Stuart Hwy, Spencer, VA 24165-3628 | 2016-02-03 |
| 1215322334 | Erin Britton | Speech-Language Pathologist | 1404 S Salisbury Ave, Spencer, NC 28159-1921 | 2015-04-06 |
| 1699019323 | Laura Ann Johnson | Speech-Language Pathologist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2012-11-19 |
| Find all providers in SPENCER | ||||
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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.