NICOLE EDWIN (NPI# 1568904050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568904050 |
| Entity Type | Individual |
| Full Name | NICOLE EDWIN |
| Credential | MS CCC-SLP, CLC |
| Practice Address |
115 Progress Pkwy Sullivan MO 63080-2359 |
| Practice Telephone | 5734683373 |
| Mailing Telephone | 5734683373 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2015039250 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
115 PROGRESS PKWY |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356382790 | Ltc Providers, Inc | Durable Medical Equipment & Medical Supplies | 115 Progress Pkwy, Sullivan, MO 63080-2359 | 2006-06-09 |
| 1962878488 | Thera-peds, LLC | Clinic/Center | 115 Progress Pkwy, Sullivan, MO 63080-2359 | 2015-08-19 |
| 1396865663 | Ltc Providers, Inc. | Durable Medical Equipment & Medical Supplies | 115 Progress Pkwy, Sullivan, MO 63080-2359 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| 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 |
|---|---|---|---|---|
| 1598275646 | Janice Althoff | Speech-Language Pathologist | 910 N Graham St, Sullivan, IL 61951-1114 | 2017-10-03 |
| 1184005019 | Johannah Stringfellow | Speech-Language Pathologist | 250 W Washington St, Sullivan, IN 47882-1432 | 2015-06-16 |
| 1255618633 | Meghan Berti | Speech-Language Pathologist | 126 W Springfield Rd, Sullivan, MO 63080-1524 | 2011-11-13 |
| 1457667222 | Christine Marie Dipretoro | Speech-Language Pathologist | 11 Taunton Dr, Sullivan, ME 04664-3006 | 2010-08-31 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1285858647 | Melanie S. Coseo | Speech-Language Pathologist | 257 County Road 40, Sullivan, OH 44880-9731 | 2007-04-13 |
| 1356968549 | Sarah Marx | Speech-Language Pathologist | 940 Mattox Dr, Sullivan, MO 63080-2364 | 2020-07-03 |
| 1538646385 | Hannah Lee Castaneda | Speech-Language Pathologist | 138 Taylor St, Sullivan, MO 63080-1936 | 2018-07-24 |
| 1942708581 | Ashley Neikirk | Speech-Language Pathologist | 11 Hawthorne Ln, Sullivan, IL 61951-9490 | 2018-01-29 |
| 1306356712 | Angela Colletta | Speech-Language Pathologist | 103 Grande Ctr, Sullivan, MO 63080-1266 | 2017-10-11 |
| Find all providers in SULLIVAN | ||||
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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.