MRS. REBA JO BOLEY (NPI# 1578760575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578760575 |
| Entity Type | Individual |
| Full Name | MRS. REBA JO BOLEY |
| Credential | MS CCC-SLP |
| Practice Address |
124 West Nashville Street Pembroke KY 42266 |
| Mailing Address |
2701 Kenwood Dr Hopkinsville KY 42240-3719 |
| Practice Telephone | 2704754227 |
| Practice Fax Number | 2704754173 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | KY2611 | KY | Speech, Language and Hearing Service Providers |
| Street Address |
124 WEST NASHVILLE STREET |
| City | PEMBROKE |
| State | KY |
| Zip Code | 42266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093912206 | Amy Regina Steele | Occupational Therapist | 124 West Nashville Street, Pembroke, KY 42266 | 2007-06-29 |
| 1669679668 | Barbara Veronica Boren | Physical Therapy Assistant | 124 West Nashville Street, Pembroke, KY 42266-0249 | 2007-07-02 |
| 1417154469 | Janet L Moore | Occupational Therapy Assistant | 124 West Nashville Street, Pembroke, KY 42266 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295392 | Chapelle Bell | In Home Supportive Care | 232 Dewey St, Pembroke, KY 42266 | 2020-11-03 |
| 1528265642 | Katherine Elizabeth Guy | Physical Therapy Assistant | 124 W Nashville St, Pembroke, KY 42266 | 2007-07-02 |
| 1811238629 | Playtime Pediatric Occupational Therapy | Early Intervention Provider Agency | 1155 Mason Ln, Pembroke, KY 42266-8620 | 2013-03-05 |
| 1275132433 | Jolene Carol Schmucker | Nurse Practitioner | 775 Pembroke Fairview Rd, Pembroke, KY 42266-9413 | 2020-10-20 |
| 1497985824 | Leslie Dawn Vass | Contractor | 1225 Pembroke Fairview Rd, Pembroke, KY 42266-9452 | 2009-07-20 |
| 1932213550 | Mary Anne Jorgensen | Occupational Therapist | 1477 Pruitt Ln, Pembroke, KY 42266-9742 | 2006-08-19 |
| 1447424171 | Shelley Hill Payne | Speech-Language Pathologist | 1600 Pembroke Oak Grove Rd, Pembroke, KY 42266-9760 | 2008-04-14 |
| 1427292259 | Pembroke Elementary School | Public Health or Welfare | 1600 Pembroke Oak Grove Rd, Pembroke, KY 42266-9760 | 2009-04-23 |
| 1417021098 | Extendicare Homes, Inc. | Skilled Nursing Facility | 124 W Nashville St, Pembroke, KY 42266-9763 | 2006-11-17 |
| 1760967079 | Pembroke Operating Company LLC | Skilled Nursing Facility | 124 W Nashville St, Pembroke, KY 42266-9763 | 2018-10-02 |
| Find all providers in zip 42266 | ||||
| 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 |
|---|---|---|---|---|
| 1306444872 | Melissa Bourgoin | Speech-Language Pathologist | 715 Riverwood Dr, Pembroke, NH 03275-3701 | 2020-10-15 |
| 1528684495 | Tamra Lowry | Speech-Language Pathologist | 2600 St Anna Rd, Pembroke, NC 28372-8420 | 2020-06-17 |
| 1144841131 | Kimberly Ann Gillis | Speech-Language Pathologist | 300 Belanger Dr, Pembroke, NH 03275-3258 | 2020-04-30 |
| 1093137465 | Holly Marcotte | Speech-Language Pathologist | 212 Pembroke Hill Rd, Pembroke, NH 03275-3225 | 2014-01-20 |
| 1235490798 | Speechfundamentals Pllc | Speech-Language Pathologist | 113 Vance St, Pembroke, NC 28372-4505 | 2012-05-31 |
| 1851535942 | Janet Gail Cummings-locklear | Speech-Language Pathologist | 4151 Prospect Rd, Pembroke, NC 28372-8400 | 2009-04-21 |
| 1487802591 | Crystal L Fedor | Speech-Language Pathologist | 609 East Third Street, Pembroke, NC 28372-2842 | 2008-09-03 |
| 1891961553 | Roberta Ann Woodell | Speech-Language Pathologist | 2872 Union Chapel Rd, Pembroke, NC 28372-8400 | 2008-05-02 |
| 1447424171 | Shelley Hill Payne | Speech-Language Pathologist | 1600 Pembroke Oak Grove Rd, Pembroke, KY 42266-9760 | 2008-04-14 |
| 1851905632 | Jessica Roth | Speech-Language Pathologist | 209 Academy Rd, Pembroke, NH 03275-1345 | 2020-08-31 |
| Find all providers in PEMBROKE | ||||
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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.