JAKE CROSLEY (NPI# 1760021497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760021497 |
| Entity Type | Individual |
| Full Name | JAKE CROSLEY |
| Credential | CCC-SLP |
| Practice Address |
900 Provident Dr Warsaw IN 46580-3252 |
| Mailing Address |
114 W Cambridge Dr Columbia City IN 46725-7785 |
| Practice Telephone | 5743712500 |
| Mailing Telephone | 2602418305 |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2019-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22006957A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
900 PROVIDENT DR |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184731655 | Riverview Hospital | Skilled Nursing Facility | 900 Provident Dr, Warsaw, IN 46580-3252 | 2006-08-23 |
| 1285164715 | Grace Kjellgren | Occupational Therapist | 900 Provident Dr, Warsaw, IN 46580-3252 | 2017-06-18 |
| 1114317765 | Devin Susann Rethlake | Occupational Therapy Assistant | 900 Provident Dr, Warsaw, IN 46580-3252 | 2015-02-03 |
| 1336538115 | Melissa Bishop | Occupational Therapy Assistant | 900 Provident Dr, Warsaw, IN 46580-3252 | 2015-01-15 |
| 1659774818 | Claire Cua | Physical Therapist | 900 Provident Dr, Warsaw, IN 46580-3252 | 2014-10-02 |
| 1346660370 | Shane Wallen | Physical Therapy Assistant | 900 Provident Dr, Warsaw, IN 46580-3252 | 2014-04-17 |
| 1861834335 | Sarah Wolfe | Speech-Language Pathologist | 900 Provident Dr, Warsaw, IN 46580-3252 | 2013-07-24 |
| 1073852646 | Jill Elaine Shondel | Occupational Therapist | 900 Provident Dr, Warsaw, IN 46580-3252 | 2013-02-01 |
| 1386989812 | Amanda Rink | Physical Therapy Assistant | 900 Provident Dr, Warsaw, IN 46580-3252 | 2012-12-10 |
| 1548514490 | Sasha Marie Tilbury | Occupational Therapy Assistant | 900 Provident Dr, Warsaw, IN 46580-3252 | 2012-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| 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 |
|---|---|---|---|---|
| 1285146209 | Erica Rae Hannon | Speech-Language Pathologist | 361 Walnut St, Warsaw, VA 22572-4341 | 2017-10-31 |
| 1831619931 | Nikole Werntz | Speech-Language Pathologist | 501 Blissfield Road, Warsaw, OH 43844 | 2017-06-21 |
| 1245623289 | Sydney Miller | Speech-Language Pathologist | 1057 Sycamore Dr, Warsaw, MO 65355-3302 | 2015-03-16 |
| 1073929444 | Julie Robinson | Speech-Language Pathologist | 2526 E Old Road 30, Warsaw, IN 46582-8075 | 2014-07-07 |
| 1902152135 | Laura Elizabeth Hart | Speech-Language Pathologist | 902 Provident Dr Ste C, Warsaw, IN 46580-3379 | 2012-07-25 |
| 1245551936 | Jessica Lynn Scheidt | Speech-Language Pathologist | 5957 Bauer Rd, Warsaw, NY 14569-9324 | 2010-06-16 |
| 1770744237 | Sara Beth Forester | Speech-Language Pathologist | 134 W Kosciusko St, Warsaw, MO 65355 | 2008-06-18 |
| 1306023056 | Chantel L Brewster | Speech-Language Pathologist | 134 Kosciusko, Warsaw, MO 65355 | 2008-01-24 |
| 1164557997 | June Stealy | Speech-Language Pathologist | 504 N Bay Dr, Warsaw, IN 46580-4627 | 2007-02-22 |
| 1588719884 | Larissa Deanne Cox | Speech-Language Pathologist | 4133 Centerline Rd, Warsaw, NY 14569-9714 | 2007-01-24 |
| Find all providers in WARSAW | ||||
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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.