BETSY BRAKE (NPI# 1659774008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659774008 |
| Entity Type | Individual |
| Full Name | BETSY BRAKE |
| Practice Address |
614 E Adams St Jackson MO 63755-2150 |
| Practice Telephone | 5732439501 |
| Mailing Telephone | 5732439501 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2014025201 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
614 E ADAMS ST |
| City | JACKSON |
| State | MO |
| Zip Code | 63755-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053564245 | Jackson R-2 Schools | Local Education Agency (LEA) | 614 E Adams St, Jackson, MO 63755-2150 | 2008-10-31 |
| 1538771753 | Allison Nicole Hill | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2020-08-19 |
| 1164034781 | Rachelle Elisabeth Brosnan | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2020-08-17 |
| 1912548710 | Ashley Bachmann | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2019-10-02 |
| 1629442546 | Laura Baugh | Counselor | 614 E Adams St, Jackson, MO 63755-2150 | 2015-11-16 |
| 1083087019 | Cassandra Bollinger | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2015-11-13 |
| 1114311123 | Molly Miller | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2015-03-27 |
| 1588066120 | Amanda Niehaus | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2014-09-25 |
| 1013223205 | Lori Obermann | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2010-08-25 |
| 1497909964 | Jolie Mccallister | Speech-Language Pathologist | 614 E Adams St, Jackson, MO 63755-2150 | 2008-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1215438585 | The Villas of Jackson LLC | Assisted Living Facility | 670 Broadridge, Jackson, MO 63755 | 2018-02-22 |
| 1346637865 | Vitality Clinic | Health Educator | 111 N. Missouri Street, Jackson, MO 63755 | 2015-04-22 |
| 1144569567 | Rock Care In Home Services, LLC | Nursing Care | 204 S Union Ave, Jackson, MO 63755 | 2013-02-05 |
| 1447506381 | Morgan Allyce Strand | Optometrist | 2954 E. Jackson Blvd, Jackson, MO 63755 | 2012-07-30 |
| 1154689321 | Benjamin Gail Goodier | Dentist | 3100 East Jackson Blvd., Jackson, MO 63755 | 2012-04-25 |
| 1912278987 | Guardian Angels Homecare, LLC | Nursing Care | 1335 Old Cape Rd., Suite F, Jackson, MO 63755 | 2012-01-23 |
| 1528357829 | Sydney Nicole Cheek | Technician, Other | 107 Cottonwood St., Jackson, MO 63755 | 2011-04-07 |
| 1215162920 | Troy L Bell Od & Associates, PC | Optometrist | 2594 E Jackson Blvd, Jackson, MO 63755 | 2009-05-26 |
| 1932398021 | Immediate Healthcare, Inc. | General Practice | 1508 Edgemont Blvd, Perryville, MO 63755 | 2007-10-15 |
| Find all providers in zip 63755 | ||||
| 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 |
|---|---|---|---|---|
| 1396359295 | Chloe Chow | Speech-Language Pathologist | 21 Okeena Dr, Jackson, TN 38305-8819 | 2020-09-08 |
| 1801400874 | Shalvah T Dworkin | Speech-Language Pathologist | 13 Linda Dr, Jackson, NJ 08527-5025 | 2020-09-07 |
| 1710523030 | Focused Speech and Language Development LLC | Speech-Language Pathologist | 26 Illinois Ave, Jackson, NJ 08527-2153 | 2019-11-21 |
| 1992356158 | Emily Mangum | Speech-Language Pathologist | 2046 Meadowbrook Rd, Jackson, MS 39211-6527 | 2019-09-27 |
| 1497305536 | Karen Coveart | Speech-Language Pathologist | 4030 Gatewood Dr, Jackson, MI 49203-5461 | 2019-09-19 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1699337691 | Foster Their Voice, LLC | Speech-Language Pathologist | 1027 Shady Ln, Jackson, MO 63755-2649 | 2019-07-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1801450531 | Stephanie M Tripp | Speech-Language Pathologist | 407 S Wisner St, Jackson, MI 49203-1573 | 2019-04-29 |
| 1114483674 | Sarah Beatrice Robinson | Speech-Language Pathologist | 200 Hampton Woods Road, Jackson, NC 27845 | 2019-02-20 |
| Find all providers in JACKSON | ||||
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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.