SUMMIT SPEECH THERAPY (NPI# 1710344973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710344973 |
| Entity Type | Organization |
| Organization Name | SUMMIT SPEECH THERAPY |
| Practice Address |
425 Medical Dr Suite #122 Bountiful UT 84010-4945 |
| Practice Telephone | 3852750492 |
| Practice Fax Number | 3852756764 |
| Mailing Telephone | 3852750492 |
| Mailing Fax Number | 3852756764 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | AMY MULLINS (DIRECTOR OF THERAPY SERVICES) |
| Authorized Official Telephone | 3852750492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Speech Therapy Services, Inc. | 1 East 6th Ave #26, Durango, CO 81301 |
| Colorado Business Entities | Summit Speech Therapy, LLC | 3618 Platte Dr, Fort Collins, CO 80526 |
| System for Award Management (SAM) Entities | SUMMIT SPEECH THERAPY, PLLC | 4500 Hillcrest Road, Frisco, TX 75035-5418 |
| Street Address |
425 MEDICAL DR SUITE #122 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
| 1407394927 | Wellsprings LLC | Clinic/Center | 425 Medical Dr, Bountiful, UT 84010-4945 | 2017-02-03 |
| 1881060523 | Emily Peck | Physician Assistant | 425 Medical Dr, Suite 205, Bountiful, UT 84010-4945 | 2015-08-17 |
| 1407242993 | Allan C Edson, D.o., PC | Internal Medicine | 425 Medical Dr, Suite 207, Bountiful, UT 84010-4945 | 2015-04-10 |
| 1528389723 | Melanie Oliver | Nurse Practitioner | 425 Medical Dr, Suite 118, Bountiful, UT 84010-4945 | 2010-06-22 |
| 1740511518 | Bountiful Hearing Center, Pllc | Hearing Aid Equipment | 425 Medical Dr, Suite 200, Bountiful, UT 84010-4945 | 2010-01-19 |
| 1619106770 | James E Hillstrom | Dentist | 425 Medical Dr, Suite 211, Bountiful, UT 84010-4945 | 2009-07-10 |
| 1003056862 | Louis S. Naegle, Lcsw, P.C. | Marriage & Family Therapist | 425 Medical Dr, Suite 212, Bountiful, UT 84010-4945 | 2009-03-05 |
| 1740428549 | Jeffery R. Oka, M.d., P.C. | Specialist | 425 Medical Dr, Suite 108, Bountiful, UT 84010-4945 | 2009-02-02 |
| 1588822076 | Ihc Health Services Inc | Dermatology | 425 Medical Dr, Ste 202, Bountiful, UT 84010-4977 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1235612532 | Mckenzie Jo Rohde | Speech-Language Pathologist | 1865 S 900 E, Bountiful, UT 84010-2340 | 2018-09-12 |
| 1710484290 | Jennifer Marie Burnett | Speech-Language Pathologist | 280 N Main St Ste 200, Bountiful, UT 84010-6136 | 2018-04-10 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1053675066 | Erin Mcquivey | Speech-Language Pathologist | 280 N Main St Fl 2, Bountiful, UT 84010-6136 | 2012-06-25 |
| 1073895025 | Cassidy Bull | Speech-Language Pathologist | 280 N Main St # 2, Bountiful, UT 84010-6136 | 2011-09-15 |
| 1710281449 | Michelle Miner Taggart | Speech-Language Pathologist | 1353 Stellaria Cir, Bountiful, UT 84010-2215 | 2011-01-10 |
| 1942260401 | Breanna R Nelson | Speech-Language Pathologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2006-03-27 |
| 1083242085 | Mary Rebekah Forbes | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010-4989 | 2020-03-27 |
| 1811538697 | Tayler Jensen | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-10-03 |
| Find all providers in BOUNTIFUL | ||||
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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.