MRS. JEANNA R ANTRIM


Address: 2411 Pathways Xing, Belleville, IL 62221-5885
Phone: 6183554756

MRS. JEANNA R ANTRIM (NPI# 1619308665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619308665
Entity Type Individual
Full Name MRS. JEANNA R ANTRIM
Credential M.S., CCC-SLP
Practice Address 2411 Pathways Xing
Belleville
IL 62221-5885
Mailing Address 1008 Chancellor Dr
Edwardsville
IL 62025-3904
Practice Telephone 6183554756
Mailing Telephone 2178213571
Enumeration Date 2013-12-02
Last Update Date 2013-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 235Z00000X Speech-Language Pathologist 2012038579 MO Speech, Language and Hearing Service Providers
Y 235Z00000X Speech-Language Pathologist 146.011139 IL Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 146.011139 05

Office Location

Street Address 2411 PATHWAYS XING
City BELLEVILLE
State IL
Zip Code 62221-5885

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881200806 Katheleen Schmidt Psychologist 2411 Pathways Xing, Belleville, IL 62221-5885 2020-09-16
1659985810 Kevin Andrew Chadwick-fisher Psychologist 2411 Pathways Xing, Belleville, IL 62221-5885 2020-09-04
1083233019 Kathryn Stump Holt Occupational Therapist 2411 Pathways Xing, Belleville, IL 62221-5885 2020-04-09
1255988788 Amanda Hargan Psychologist 2411 Pathways Xing, Belleville, IL 62221-5885 2019-08-20
1851959621 Lisa Marie Brentlinger Psychologist 2411 Pathways Xing, Belleville, IL 62221-5885 2019-06-05
1073096798 Victoria Corporon Speech-Language Pathologist 2411 Pathways Xing, Belleville, IL 62221-5885 2018-09-09
1376023168 Kaylie Lou Riley Speech-Language Pathologist 2411 Pathways Xing, Belleville, IL 62221-5885 2018-08-21
1023528940 Melinda Hawley Psychologist 2411 Pathways Xing, Belleville, IL 62221-5885 2017-10-05
1710404033 Michelle Marie Quinn Eschman Psychologist 2411 Pathways Xing, Belleville, IL 62221-5885 2017-08-28
1679090997 Belleville Area Special Services Cooperative Psychologist 2411 Pathways Xing, Belleville, IL 62221-5885 2017-08-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679134829 Dr. Cynthia C. Banderet, Dmd, PC Clinic/Center 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 2019-06-27
1942763487 John Joseph Oldani Psychologist Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 2019-04-11
1114497781 Kendra D Edwards Counselor 900 Royal Height Rd Suite 2150, Belleville, IL 62221 2018-11-27
1326537358 Barbara S Laidlaw Counselor 2362 Country Rd, Belleville, IL 62221 2018-05-04
1083133946 Kierra Jackson In Home Supportive Care 2611 Sierra Drive Apt. F, Belleville, IL 62221 2017-09-12
1972022994 Kathleen Denise Defranco Speech-Language Pathologist 2028 Lebanon Ave., Belleville, IL 62221 2017-09-11
1700302270 Mark Hofelich Pharmacist 515 Carlyle Avenue, Belleville, IL 62221 2017-08-16
1912422247 Cherie Ann Klosterman Psychologist Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 2017-08-08
1134391329 Barbara Beckley Home Health Aide 2726 Cascade Lake Drive, Shiloh, IL 62221 2008-03-27
1356561666 Belleville Area Spc Srv Co - Adm Local Education Agency (LEA) 2411 Pathways Crossing, Belleville, IL 62221 2007-04-27
Find all providers in zip 62221

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336617364 Nicole Renee Schmidt Speech-Language Pathologist 150 N 27th St., Belleville, IL 62226 2018-11-07
1972022994 Kathleen Denise Defranco Speech-Language Pathologist 2028 Lebanon Ave., Belleville, IL 62221 2017-09-11
1275927279 Landria Green, Pllc Speech-Language Pathologist 42861 Stratford Dr, Belleville, MI 48111-1729 2015-03-27
1376946400 Chinetta Mcleod Speech-Language Pathologist 49143 Laguna Dr, Belleville, MI 48111-4969 2014-10-03
1932517109 Sara Hedrick Speech-Language Pathologist 317 Weatherstone Dr, Belleville, IL 62221-5837 2014-07-31
1457775132 Christine Carrier Speech-Language Pathologist 20 S 27th St, Belleville, IL 62226-6724 2014-02-14
1093139461 Susan R Hilker Speech-Language Pathologist 700 W Cleveland Ave, Belleville, IL 62220-2465 2014-02-06
1619308699 Brenda Kirk Speech-Language Pathologist 2465 Amann Dr, Belleville, IL 62220-3463 2013-12-02
1770914749 Debra Gordon Speech-Language Pathologist 2555 West Blvd, Belleville, IL 62221-5525 2013-12-02
1831454172 Ashlie Kristina Mitchell Speech-Language Pathologist 34 Ben Louis Dr, Belleville, IL 62226-5712 2012-07-12
Find all providers in BELLEVILLE

Competitor

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City BELLEVILLE
Zip Code 62221

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Dataset Information

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.

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