MCKINZIE SHERIDAN (NPI# 1801158902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801158902 |
| Entity Type | Individual |
| Full Name | MCKINZIE SHERIDAN |
| Credential | SLP |
| Practice Address |
3965 75th St Suite 104 Aurora IL 60504-7925 |
| Mailing Address |
812 Beaumont Dr Apt 201 Naperville IL 60540-1831 |
| Practice Telephone | 6302367000 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 242002234 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
3965 75TH ST SUITE 104 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699861682 | Lawrence Timothy Kacmar | Family Medicine | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2006-10-05 |
| 1114476322 | Leah Kristene Michelli | Physician Assistant | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2016-09-28 |
| 1659828259 | Nita Mohanan | Occupational Therapist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2016-09-01 |
| 1821489568 | Melinda Marie Montgomery | Nurse Practitioner | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2015-02-17 |
| 1023414356 | Alyssa Sivek | Speech-Language Pathologist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2014-11-13 |
| 1144629494 | Michelle Sima | Specialist/Technologist | 3965 75th St, Aurora, IL 60504-7925 | 2014-08-21 |
| 1619383932 | Alison Marie Smith | Speech-Language Pathologist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2014-07-08 |
| 1770905820 | Jamie Long | Occupational Therapist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2014-01-08 |
| 1316389810 | Amy Rose Mcdowell | Speech-Language Pathologist | 3965 75th St, #104, Aurora, IL 60504-7925 | 2013-07-24 |
| 1982943767 | Anne Vosicky | Occupational Therapist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2013-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| 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 |
|---|---|---|---|---|
| 1275145237 | Heather Coverdell | Speech-Language Pathologist | 1034 S Lincoln Ave, Aurora, MO 65605-1824 | 2020-08-20 |
| 1679182794 | Natalie Potter | Speech-Language Pathologist | 6051 S Andes Cir, Aurora, CO 80016-3837 | 2020-07-24 |
| 1194349464 | Chelsea Lee Brown | Speech-Language Pathologist | 12631 E 17th Ave Ste 3001, Aurora, CO 80045-2527 | 2020-06-02 |
| 1366080657 | Alexis Moreland | Speech-Language Pathologist | 10951 E Garden Dr, Aurora, CO 80012-4375 | 2019-12-17 |
| 1740828201 | Claire Marie Mcgovern | Speech-Language Pathologist | 2985 S Oakland St, Aurora, CO 80014-3143 | 2019-12-16 |
| 1619510427 | Kendra J Gill | Speech-Language Pathologist | 787 Meadowridge Dr, Aurora, IL 60504-5380 | 2019-10-24 |
| 1073160974 | Emily Nauman | Speech-Language Pathologist | 13123 E 16th Ave # B145, Aurora, CO 80045-7106 | 2019-08-25 |
| 1336792084 | Rachelle Paquette | Speech-Language Pathologist | 6795 S Langdale St Unit 209, Aurora, CO 80016-2873 | 2019-07-22 |
| 1740842707 | Samantha Leah-audra Ginsburg | Speech-Language Pathologist | 13837 E Greenwood Dr, Aurora, CO 80014-3919 | 2019-06-30 |
| 1841853983 | Camille Stewart | Speech-Language Pathologist | 13123 E 16th Ave # 30, Aurora, CO 80045-7106 | 2019-04-15 |
| Find all providers in AURORA | ||||
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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.