ANDREW RUSSELL BORDEAUX (NPI# 1801142732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801142732 |
| Entity Type | Individual |
| Full Name | ANDREW RUSSELL BORDEAUX |
| Credential | M.S., CCC-SLP |
| Practice Address |
1624 Barton Ave West Bend WI 53090 |
| Mailing Address |
Po Box 504 Germantown WI 53022-0504 |
| Practice Telephone | 4143680449 |
| Mailing Telephone | 4146172696 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3708-154 | WI | Speech, Language and Hearing Service Providers |
| Street Address |
1624 BARTON AVE |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909556 | Bordeaux Slp & Consulting, LLC | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| 1245273291 | Mary Ann Luser | Registered Nurse | 4921 Joshua Dr., West Bend, WI 53090 | 2006-06-14 |
| Find all providers in zip 53090 | ||||
| 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 |
|---|---|---|---|---|
| 1073710836 | Rachael Trawicki | Speech-Language Pathologist | 620 Schoenhaar Dr, West Bend, WI 53090-2649 | 2007-06-27 |
| 1558909556 | Bordeaux Slp & Consulting, LLC | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2019-12-20 |
| 1427604388 | Kelleigh Best | Speech-Language Pathologist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2019-08-15 |
| 1871014316 | Lindsey Hamann | Speech-Language Pathologist | 5595 County Road Z, West Bend, WI 53095-9224 | 2017-07-06 |
| 1629440490 | Maricel Schulte | Speech-Language Pathologist | 5595 County Road Z, West Bend, WI 53095-9224 | 2015-10-20 |
| 1710264791 | Beth L Llanas | Speech-Language Pathologist | 5595 County Road Z, West Bend, WI 53095-9224 | 2011-11-04 |
| 1194010975 | Danielle Jacqueline Creegan | Speech-Language Pathologist | 620 Schoenhaar Dr, West Bend, WI 53090-2649 | 2011-06-09 |
| 1780992800 | Elizabeth Christopher | Speech-Language Pathologist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2010-09-23 |
| 1275867020 | Theresa Marie Smith | Speech-Language Pathologist | 620 Schoenhaar Dr, West Bend, WI 53090-2649 | 2009-09-28 |
| 1588821177 | Janette German | Speech-Language Pathologist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2008-05-21 |
| Find all providers in WEST BEND | ||||
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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.