MS. VICKI CAROL MASTERSON (NPI# 1629147004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629147004 |
| Entity Type | Individual |
| Full Name | MS. VICKI CAROL MASTERSON |
| Credential | SLP |
| Practice Address |
105 Canterbury Rd Pendleton IN 46064-8719 |
| Practice Telephone | 7656202068 |
| Practice Fax Number | 7657787781 |
| Mailing Telephone | 7656202068 |
| Mailing Fax Number | 7657787781 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22003545A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
105 CANTERBURY RD |
| City | PENDLETON |
| State | IN |
| Zip Code | 46064-8719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1003004219 | Hamilton-madison, Inc. | Durable Medical Equipment & Medical Supplies | 105 1/2 E. State Street, Pendleton, IN 46064 | 2007-10-12 |
| 1518019637 | Pendleton Emergency Ambulance Inc | Ambulance | 100 S Broadway, Pendleton, IN 46064 | 2007-01-17 |
| 1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
| 1336242700 | Jennifer A Neise | Dentist | 3132 W. State Road 38, Pendleton, IN 46064 | 2006-09-07 |
| 1366900599 | Megan Daberko | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2019-03-06 |
| 1821594672 | Jean Castro | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2018-04-02 |
| 1013002310 | Kenneth U Lau | Dentist | 210 East Water Street, Pendleton, IN 46064 | 2006-10-03 |
| 1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
| Find all providers in zip 46064 | ||||
| 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 |
|---|---|---|---|---|
| 1417406968 | Monique Beatty | Speech-Language Pathologist | 229 Frank Harris Rd, Pendleton, NC 27862-7217 | 2016-09-26 |
| 1477923910 | Brianna Berry | Speech-Language Pathologist | 9299 W Dockside Cir, Pendleton, IN 46064-8619 | 2015-09-27 |
| 1265842710 | Amy Johnson | Speech-Language Pathologist | 2407 Ridge Rd, Pendleton, KY 40055-9623 | 2014-05-06 |
| 1760633838 | Michele Manley Bradford | Speech-Language Pathologist | 604 Se 6th St, Pendleton, OR 97801-3107 | 2008-10-07 |
| 1285112516 | Morgen Burzynski | Speech-Language Pathologist | 479 Willis Hare Rd, Pendleton, NC 27862-7033 | 2018-07-30 |
| 1477005999 | A Joyful Journey | Speech-Language Pathologist | 229 Frank Harris Rd, Pendleton, NC 27862-7217 | 2016-11-01 |
| 1801222658 | Joan Schnell Comen | Speech-Language Pathologist | 315 E Queen St, Pendleton, SC 29670-1721 | 2013-09-24 |
| 1124365937 | Michelle Renee Tracey | Speech-Language Pathologist | 315 E Queen St, Pendleton, SC 29670-1721 | 2013-01-14 |
| 1972840155 | Christie Lynn Drawdy | Speech-Language Pathologist | 315 E Queen St, Pendleton, SC 29670-1721 | 2013-01-09 |
| 1023376027 | Dana A. Jordan | Speech-Language Pathologist | 707 Sw 37th St, Pendleton, OR 97801-3605 | 2012-04-26 |
| Find all providers in PENDLETON | ||||
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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.