MOULTON ISD (NPI# 1639205644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639205644 |
| Entity Type | Organization |
| Organization Name | MOULTON ISD |
| Practice Address |
400 Bobkat Dr Moulton TX 77975 |
| Mailing Address |
Po Box C 400 Bobkat Dr Moulton TX 77975-0070 |
| Practice Telephone | 3615964609 |
| Practice Fax Number | 3615967578 |
| Mailing Telephone | 3615964609 |
| Mailing Fax Number | 3615967578 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | ANGIE LUKSOVSKY (BUSINESS MANAGER) |
| Authorized Official Telephone | 3615964609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 163WS0200X |
Registered Nurse Specialization: School |
Nursing Service Providers | ||
| N | 164X00000X | Licensed Vocational Nurse | Nursing Service Providers | ||
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
400 BOBKAT DR |
| City | MOULTON |
| State | TX |
| Zip Code | 77975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780855627 | Tanee Brooke Colburn | Occupational Therapist | 101 South Lancaster Street, Moulton, TX 77975 | 2008-03-19 |
| 1780681643 | Shady Oak Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 101 South Lancaster, Moulton, TX 77975-0120 | 2005-07-06 |
| 1902227747 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 101 South Lancaster, Moulton, TX 77975-0120 | 2013-12-20 |
| 1356322127 | Wagner Medical Clinic L.l.p. | Physician Assistant | 100 S Pecan, Moulton, TX 77975-0238 | 2005-11-09 |
| 1881695211 | Robert W. Olle | Pharmacist | 103 N. Main Street, Moulton, TX 77975-0429 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491093 | Russellville Hospital Inc | Family Medicine | 11809 Al Highway 157 Ste E, Moulton, AL 35650-2708 | 2020-03-05 |
| 1720509094 | Mallory Webb Wilson | Pharmacist | 20332 Al Highway 33, Moulton, AL 35650-9204 | 2017-06-27 |
| 1346682259 | Southern Hospitality Home & Health Care, Inc. | Home Health | 757 Lawrence St, Moulton, AL 35650-1636 | 2013-07-19 |
| 1588002455 | Lakeshore Pediatrics PC | Pediatrics | 12521 Al Highway 157 Ste B, Moulton, AL 35650-1937 | 2013-06-12 |
| 1194098012 | Victoria Carlene Linker | Counselor | 2360 County Road 317, Moulton, AL 35650-8121 | 2012-02-23 |
| 1760790166 | Leighton Pharmacy, Inc | Pharmacy | 15190 Court St., Suite A, Moulton, AL 35650-1519 | 2010-09-20 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1164695532 | Lawrence County E.m.s., Inc. | Ambulance | 11227 Al Hwy 157, Suite A, Moulton, AL 35650-1938 | 2008-04-08 |
| 1164693545 | Terry L. Pangburn | Driver | 109 S Elm St, Moulton, IA 52572-1441 | 2008-03-13 |
| 1265602585 | State of Alabama | Public Health or Welfare | 13280 Al Highway 157, Moulton, AL 35650-0278 | 2008-03-03 |
| Find all providers in MOULTON | ||||
| 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 |
|---|---|---|---|---|
| 1760083430 | Laura Gallups | Speech-Language Pathologist | 25 Leonard Trl, Westworth Village, TX 76114-4037 | 2020-11-07 |
| 1215538509 | Laura Langford Smith | Speech-Language Pathologist | 7309 Janna Dr, Abilene, TX 79606-5323 | 2020-11-04 |
| 1629679725 | Haley Brawner Warren | Speech-Language Pathologist | 5800 Broadway Ste 106, San Antonio, TX 78209-5257 | 2020-11-04 |
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1285234971 | Hilary Rodriguez Febus | Speech-Language Pathologist | 1 Hermann Park Ct Apt 111, Houston, TX 77021-2273 | 2020-10-30 |
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1477153815 | Into Words Therapy Pllc | Speech-Language Pathologist | 11501 Oak Knoll Dr, Austin, TX 78759-3802 | 2020-10-26 |
| 1174122618 | Thoughtful Slp, Pllc | Speech-Language Pathologist | 7806 Copperas Dr, Austin, TX 78749-3807 | 2020-10-24 |
| 1194324723 | Ashley Panakezham | Speech-Language Pathologist | 800 Bonaventure Way Ste 147, Sugar Land, TX 77479-8006 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
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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.