MS. BREANNA JANE MINOR (NPI# 1790164283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790164283 |
| Entity Type | Individual |
| Full Name | MS. BREANNA JANE MINOR |
| Practice Address |
901 Caledonia St La Crosse WI 54603-2616 |
| Practice Telephone | 6087854100 |
| Mailing Telephone | 6087854100 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 9463 | MN | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 4117-154 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN DSPS | 4117-154 | 01 |
| MN | MDH | 9463 | 01 |
| Street Address |
901 CALEDONIA ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215912662 | Jacquelyn A Schmida | Speech-Language Pathologist | 901 Caledonia St, La Crosse, WI 54603-2616 | 2005-12-08 |
| 1538768494 | Sadie Mckay Spahn I | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-21 |
| 1891394110 | Allison Marie Deisting | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-19 |
| 1265030779 | Katelyn Felten | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-16 |
| 1447867429 | Andrea Rogala | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-24 |
| 1265048193 | Melissa Elizabeth Houman | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-16 |
| 1053924944 | Carlie Frances Ames | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-28 |
| 1255944898 | Miranda Molland | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-24 |
| 1811506363 | Elisha Lindsey | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-07-29 |
| 1134747710 | Courtney Taylor Schanau | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
| 1164624920 | Kimberly Ann Connor | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100, La Crosse, WI 54603 | 2007-06-04 |
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| 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 |
|---|---|---|---|---|
| 1609067461 | Jeanne Marie Juenger | Speech-Language Pathologist | 1836 Caroline St, La Crosse, WI 54603-1420 | 2007-08-07 |
| 1578616876 | Kristin Leigh Schuppert | Speech-Language Pathologist | The Parenting Place, 1500 Green Bay Street, La Crosse, WI 54601-6455 | 2007-01-19 |
| 1912916750 | Elizabeth Mary Dahlen IIi | Speech-Language Pathologist | 2935 East Ave S, La Crosse, WI 54601-7243 | 2006-08-07 |
| 1215912662 | Jacquelyn A Schmida | Speech-Language Pathologist | 901 Caledonia St, La Crosse, WI 54603-2616 | 2005-12-08 |
| 1104436351 | Taryn Jean Simon | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-08-03 |
| 1467010892 | Michelle Collette Mirasola | Speech-Language Pathologist | 724 Denton St, La Crosse, WI 54601-5447 | 2019-05-31 |
| 1386104107 | Tessa Johnson | Speech-Language Pathologist | 2575 7th St S, La Crosse, WI 54601-5249 | 2019-03-20 |
| 1003382425 | Aimee A Balistreri | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-10-23 |
| 1841717923 | Trisha R Riddle | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601 | 2017-08-29 |
| 1053659359 | Cynthia G Meisner | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2013-01-21 |
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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.