AMY J FEDORUK (NPI# 1679725436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679725436 |
| Entity Type | Individual |
| Full Name | AMY J FEDORUK |
| Credential | SLP |
| Practice Address |
305 S State St Aberdeen SD 57401-4527 |
| Mailing Address |
Po Box 4400 Aberdeen SD 57402-4400 |
| Practice Telephone | 6056225000 |
| Practice Fax Number | 6056225255 |
| Mailing Telephone | 6056225000 |
| Mailing Fax Number | 6056225255 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | ASHA CERTIFICATION | 09118760 | 01 |
| Street Address |
305 S STATE ST |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789543 | Russell C Pietz | Family Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2005-06-09 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1124502646 | Avera St Luke's | Emergency Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2018-09-20 |
| 1689150252 | Kim Susanne Kram | Specialist/Technologist | 305 S State St, Aberdeen, SD 57401-4527 | 2018-07-17 |
| 1144769522 | Gerhard Marx | Social Worker | 305 S State St, Aberdeen, SD 57401-4527 | 2017-02-17 |
| 1851771133 | Susan Gutenkauf | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-06-02 |
| 1538548649 | Melanie C Erickson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-21 |
| 1639557184 | Carrie Ann Werth | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1861870404 | Buckley D Norris | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1285012005 | Jason Stolp | Physical Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| 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 |
|---|---|---|---|---|
| 1982252706 | Tage Frances Hanson | Speech-Language Pathologist | 414 S 10th St # 57401, Aberdeen, SD 57401-3856 | 2019-08-27 |
| 1235792623 | Alicia Henderson | Speech-Language Pathologist | 1254 N L St, Aberdeen, WA 98520-1761 | 2019-04-21 |
| 1013489046 | Jaclyn E Bridges | Speech-Language Pathologist | 36 Baker St, Aberdeen, MD 21001-2418 | 2019-01-02 |
| 1760951461 | Anysia J Ensslen-boggs | Speech-Language Pathologist | 810 Edmund St, Aberdeen, MD 21001-3546 | 2018-11-26 |
| 1235623745 | Brooke Quigley | Speech-Language Pathologist | 1208 State Route 34 Unit A, Aberdeen, NJ 07747-1940 | 2018-06-18 |
| 1942717871 | The Speech Room | Speech-Language Pathologist | 1208 Route 34, Tower 1 Unit A, Aberdeen, NJ 07747-0774 | 2017-12-30 |
| 1386158954 | Erica Azzurri | Speech-Language Pathologist | 1208 Route 34 # Tower1, Aberdeen, NJ 07747-1940 | 2017-11-19 |
| 1992232649 | Helen Gilkes | Speech-Language Pathologist | 505 Twinleaf Dr, Aberdeen, MD 21001-2652 | 2017-05-12 |
| 1811431463 | Cathie Murphy | Speech-Language Pathologist | 612 14th Ave Se, Aberdeen, SD 57401-7239 | 2016-12-15 |
| 1649724667 | Kristi Burckhard | Speech-Language Pathologist | 908 S Lincoln St, Aberdeen, SD 57401-6050 | 2016-08-08 |
| Find all providers in ABERDEEN | ||||
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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.