BLAKE WELLS (NPI# 1588007256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588007256 |
| Entity Type | Individual |
| Full Name | BLAKE WELLS |
| Practice Address |
7887 Ditter Ridge Road Dittmer MO 63023 |
| Practice Telephone | 6362745327 |
| Practice Fax Number | 6362740413 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2008023537 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992157549 | Blake Wells | Physical Therapy Assistant | 803 Oak Street, Green Cove Springs, FL 32043 | 2016-07-07 |
| 1205333549 | Blake Wells | Clinic/Center | 532 Maxwell Ave, Cincinnati, OH 45219-2408 | 2018-04-12 |
| Street Address |
7887 DITTER RIDGE ROAD |
| City | DITTMER |
| State | MO |
| Zip Code | 63023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1902462278 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 8350 State Route 30, Dittmer, MO 63023 | 2019-05-13 |
| 1396999140 | Valerie Puett | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2008-11-06 |
| 1447680590 | Rose Aiazzi | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-11-26 |
| 1952736027 | Leann Christine Carruthers | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-09-09 |
| 1215190558 | Cynthia Xakellis Wiederholt | Emergency Medicine | Fast Track Urgent Care, 2686 N Highway 67, Florissant, MO 63023-1438 | 2008-07-07 |
| 1740689181 | David Sherman | Otolaryngology | 8350 State Route 30, Dittmer, MO 63023-1909 | 2014-08-21 |
| 1184832552 | Karen Kramer | Counselor | 9009 Morse Mill Rd, Dittmer, MO 63023-2046 | 2007-05-18 |
| 1053786350 | Danielle Boswell | Respiratory Therapist, Registered | 9810 Morse Mill Rd, Dittmer, MO 63023-2709 | 2015-12-11 |
| 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 |
|---|---|---|---|---|
| 1396999140 | Valerie Puett | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2008-11-06 |
| 1447680590 | Rose Aiazzi | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-11-26 |
| 1952736027 | Leann Christine Carruthers | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588421 | Mackenzie Depee | Speech-Language Pathologist | 263 Buccaneer Dr, Branson, MO 65616-9502 | 2020-11-08 |
| 1083215768 | Tracie Lee Beckmann | Speech-Language Pathologist | 731 Falcon Hill Trl, O Fallon, MO 63368-8194 | 2020-11-08 |
| 1518567494 | Bradley Huesgen | Speech-Language Pathologist | 3500 Oxford Blvd, Saint Louis, MO 63143-4209 | 2020-10-29 |
| 1679173793 | Demi Waggoner | Speech-Language Pathologist | 1015 W Macon St, Carthage, MO 64836-2938 | 2020-10-28 |
| 1053910422 | Serenity Speech and Language Therapy LLC | Speech-Language Pathologist | 8965 W Highway 116, Gower, MO 64454-8483 | 2020-10-18 |
| 1467051813 | Qiao Ying Li | Speech-Language Pathologist | 673 Cedar Run Dr, Ballwin, MO 63021-6207 | 2020-10-17 |
| 1952909715 | Makenzie Nicole Hackman | Speech-Language Pathologist | 4630 Brennan Rd, High Ridge, MO 63049-1801 | 2020-10-14 |
| 1205433992 | Karley Jo Smith | Speech-Language Pathologist | 12401 County Road 438, Country Club, MO 64505-3719 | 2020-10-06 |
| 1376140509 | Casey Claypool | Speech-Language Pathologist | 100 Dix Rd, Jefferson City, MO 65109-0962 | 2020-10-01 |
| 1083211213 | Brookelyn Schwartz | Speech-Language Pathologist | 325 Lewis and Clark Dr, Jefferson City, MO 65101-5586 | 2020-10-01 |
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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.