CARISSA ELLIOTT (NPI# 1699230813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699230813 |
| Entity Type | Individual |
| Full Name | CARISSA ELLIOTT |
| Credential | MS CCC-SLP |
| Practice Address |
1401 E 12th St Mendota IL 61342-9216 |
| Mailing Address |
26556 N 400 East Rd Ancona IL 61311-9805 |
| Practice Telephone | 8155391409 |
| Mailing Telephone | 8159920376 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146013301 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245413863 | Carissa Lynn Elliott | Counselor | 127 W 2nd St Ste 201, Chadron, NE 69337-2883 | 2007-12-06 |
| Street Address |
1401 E 12TH ST |
| City | MENDOTA |
| State | IL |
| Zip Code | 61342-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376879122 | Richard Jospeh Baker | Nurse Anesthetist, Certified Registered | 1401 E 12th St, Mendota, IL 61342-9216 | 2009-10-29 |
| 1578197513 | Tracie R Kelly | Nurse Practitioner | 1401 E 12th St, Mendota, IL 61342-9216 | 2020-02-28 |
| 1922457118 | Marissa Gatza | Occupational Therapy Assistant | 1401 E 12th St, Mendota, IL 61342-9216 | 2016-06-08 |
| 1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
| 1659772242 | Kristi Gonzales | Physician Assistant | 1401 E 12th St, Mendota, IL 61342-9216 | 2014-09-15 |
| 1891121323 | Ashlee Hoff | Occupational Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2013-09-16 |
| 1629404157 | Reid Baltikauski | Physical Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2013-09-16 |
| 1073869475 | Katherine Rose Riva-foster | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2012-08-03 |
| 1174888275 | Jared M Wise | Physical Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2012-07-05 |
| 1457616559 | Franklin J Duro | Physical Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2012-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
| 1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
| 1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
| 1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
| 1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
| 1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
| 1356576300 | Barbara Jean Needs | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2009-05-20 |
| 1629064621 | Dharmashi Vishanji Bhate | Radiology | 1718 Hillcrest Ct, Mendota, IL 61342-1008 | 2005-09-25 |
| Find all providers in zip 61342 | ||||
| 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 |
|---|---|---|---|---|
| 1881108611 | Cara Elizabeth Ludwick | Speech-Language Pathologist | 1309 Jefferson St, Mendota, IL 61342-1429 | 2017-12-01 |
| 1730694514 | Alicia Foster | Speech-Language Pathologist | 805 4th Ave, Mendota, IL 61342-1705 | 2017-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1194326363 | Cheryl Clemens | Speech-Language Pathologist | 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 | 2020-11-04 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1942809231 | Progress To Success Speech Therapy Pllc | Speech-Language Pathologist | 4940 Wilderness Pt, Smithton, IL 62285-3664 | 2020-10-19 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1295332617 | Rachel Raffalo | Speech-Language Pathologist | 1050 S Euclid Ave, Elmhurst, IL 60126-5169 | 2020-10-08 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1255938908 | Norma Laura Gregorio-perez | Speech-Language Pathologist | 1601 E Main St # G, St Charles, IL 60174-2431 | 2020-10-06 |
| 1073110227 | Erin Koester | Speech-Language Pathologist | 633 County Highway 22, Cowden, IL 62422-4104 | 2020-10-01 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
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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.