MRS. KIRSTEN NOELLE VIDAL (NPI# 1659573210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659573210 |
| Entity Type | Individual |
| Full Name | MRS. KIRSTEN NOELLE VIDAL |
| Credential | M.A.,CCC-SLP |
| Practice Address |
2245 Lewisville Clemmons Rd Ste A Clemmons NC 27012-7461 |
| Mailing Address |
8024 Glengarriff Rd Clemmons NC 27012-9192 |
| Practice Telephone | 3364206189 |
| Mailing Telephone | 3364206189 |
| Mailing Fax Number | 3367121706 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4823 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7412122 | 05 |
| Street Address |
2245 LEWISVILLE CLEMMONS RD STE A |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-7461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| 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 |
|---|---|---|---|---|
| 1760091318 | Kids Advantage | Speech-Language Pathologist | 248 Plumstead Ln, Clemmons, NC 27012-9643 | 2020-07-29 |
| 1497377998 | Andrea Stoppenhagen | Speech-Language Pathologist | 8133 Hampton Rd, Clemmons, NC 27012-7131 | 2020-05-07 |
| 1265910624 | Morgan Dull Stanley | Speech-Language Pathologist | 7449 Fair Oaks Dr, Clemmons, NC 27012-9849 | 2018-07-29 |
| 1275062267 | Monica Alvarez | Speech-Language Pathologist | 5639 Misty Hill Cir, Clemmons, NC 27012-9739 | 2017-06-05 |
| 1366986358 | Maria Hubbard | Speech-Language Pathologist | 5361 Sterling Forest Dr, Clemmons, NC 27012-9612 | 2016-12-09 |
| 1023453636 | Catherine Lucille Weiss | Speech-Language Pathologist | 4475 Gatlin Knoll Ln, Clemmons, NC 27012-7711 | 2013-05-09 |
| 1528372349 | Rebecca Adams Sluder | Speech-Language Pathologist | 8385 Cheval St, Clemmons, NC 27012-9122 | 2010-08-04 |
| 1982918306 | Amber R. Weaver | Speech-Language Pathologist | 150 Loganberry Ct, Clemmons, NC 27012-7096 | 2010-07-27 |
| 1962521674 | Flavia R. Griffin | Speech-Language Pathologist | 3511 Birkdale Lake Ct, Clemmons, NC 27012-8561 | 2007-03-27 |
| 1386790442 | Robert S Evans | Speech-Language Pathologist | 114 Willow Trace Cir Apt 5, Clemmons, NC 27012-8814 | 2007-01-25 |
| Find all providers in CLEMMONS | ||||
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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.