KELLEY HICKMAN (NPI# 1578173241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578173241 |
| Entity Type | Individual |
| Full Name | KELLEY HICKMAN |
| Practice Address |
897 S 55th Pl Springfield OR 97478-6978 |
| Mailing Address |
98-1247 Kaahumanu St Ste 319 Aiea HI 96701-5301 |
| Practice Telephone | 5419056300 |
| Mailing Telephone | 8087737474 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| 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 |
897 S 55TH PL |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97478-6978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
| 1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
| 1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
| 1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
| 1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
| Find all providers in zip 97478 | ||||
| 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 |
|---|---|---|---|---|
| 1023623105 | Heather Dugas | Speech-Language Pathologist | 25190 Blood River Road, Springfield, LA 70462 | 2020-09-15 |
| 1871107003 | Paige Marie Steer | Speech-Language Pathologist | 531 W Harding Rd, Springfield, OH 45504-1708 | 2020-09-04 |
| 1639792740 | Lindsay Anne Douglas | Speech-Language Pathologist | 3050 S National Ave Ste 106, Springfield, MO 65804-4242 | 2020-05-22 |
| 1770106320 | Jeanette Spirides | Speech-Language Pathologist | 7811 Jansen Dr, Springfield, VA 22152-2423 | 2020-05-18 |
| 1346862505 | Elisabeth Amy Mlawski | Speech-Language Pathologist | 16 Elmwood Rd, Springfield, NJ 07081-2419 | 2020-05-11 |
| 1720623929 | Amber Dejianne | Speech-Language Pathologist | 100 Stone Hill Rd Apt J2, Springfield, NJ 07081-2126 | 2019-11-12 |
| 1558902775 | Stephanie L Mcbratney | Speech-Language Pathologist | 3510 E Whitehall Dr, Springfield, MO 65809-2135 | 2019-09-30 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1164071445 | Desiree Herring | Speech-Language Pathologist | 103 Runnymead Dr, Springfield, TN 37172-5730 | 2019-09-09 |
| 1689221327 | Julienne Trexler | Speech-Language Pathologist | 521 Mount Joy St, Springfield, OH 45505-2852 | 2019-08-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97478 |
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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.