MS. MARY LUCENA ELLIS (NPI# 1821297300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821297300 |
| Entity Type | Individual |
| Full Name | MS. MARY LUCENA ELLIS |
| Credential | MA-CCC/SLP |
| Practice Address |
2810 45th St Rock Island IL 61201-5860 |
| Practice Telephone | 3097376304 |
| Mailing Telephone | 3097376304 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | MA7678 | CA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 01132 | IA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881224996 | Mary Elizabeth Ellis | Physician Assistant | 1 Hospital Dr # 3400, Asheville, NC 28801-4550 | 2020-01-17 |
| 1720594088 | Mary Ellis | Student in an Organized Health Care Education/Training Program | 3533 Southern Blvd Ste 5200, Kettering, OH 45429-1275 | 2017-12-22 |
| 1730517293 | Mary Hannah Ellis | Counselor | 703 Copperline Dr, Unit 208, Chapel Hill, NC 27516-4488 | 2013-10-21 |
| 1295042869 | Mary Ann Ellis | Counselor | 20114 E Pennsylvania Ave, Dunnellon, FL 34432-6033 | 2010-09-02 |
| 1437486172 | Mary Ellis | Licensed Practical Nurse | 3073 Prosperity Ln, Columbus, OH 43231-8822 | 2009-11-17 |
| 1588816573 | Mary Louise Ellis | Pharmacist | 1327 Blue Ave, Zanesville, OH 43701-2403 | 2008-10-21 |
| 1437360872 | Mary Louise Ellis | Registered Nurse | 20094 Mission Blvd, Hayward, CA 94541-1237 | 2007-05-25 |
| 1003964131 | Mary Linda Ellis | Counselor | 2070 Buford Hwy, Ste 2-d, Buford, GA 30518-6079 | 2007-01-08 |
| 1982268231 | Mary Claire Ellis | Student in an Organized Health Care Education/Training Program | Duke University Hospital 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-04-23 |
| 1295295814 | Mary Allison Ellis | Pharmacist | 800 Rose St Rm H110, Lexington, KY 40536-0293 | 2019-03-20 |
| Street Address |
2810 45TH ST |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-5860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| 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 |
|---|---|---|---|---|
| 1265945414 | Angela Lynch | Speech-Language Pathologist | 2101 16th Ave, Rock Island, IL 61201-3657 | 2017-11-09 |
| 1619480860 | Karen Sue Neder | Speech-Language Pathologist | 4101 22nd Ave, Rock Island, IL 61201-4932 | 2017-11-09 |
| 1821486333 | Johanna Eder | Speech-Language Pathologist | 3335 28th Street Ct, Rock Island, IL 61201-6313 | 2015-01-06 |
| 1942546874 | Laura Hope Dunlap | Speech-Language Pathologist | 268 Hermitage Hill Ln, Rock Island, TN 38581-4172 | 2012-12-20 |
| 1043827751 | Kaitlin Ann Yorde | Speech-Language Pathologist | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2020-09-26 |
| 1396365904 | Rachel Bullock | Speech-Language Pathologist | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2020-04-23 |
| 1619340890 | Allison Lee | Speech-Language Pathologist | 2701 17th St, Rock Island, IL 61201-5351 | 2015-11-10 |
| 1225305949 | Jessica Hoyer | Speech-Language Pathologist | 2545 24th St, Rock Island, IL 61201-5305 | 2011-11-23 |
| 1922380500 | Krista Lynn Eckert | Speech-Language Pathologist | 2701 17th St, Rock Island, IL 61201-5351 | 2011-09-09 |
| 1932406626 | Katie Linn Van Lauwe | Speech-Language Pathologist | 2701 17th St, Rock Island, IL 61201-5351 | 2011-02-16 |
| Find all providers in ROCK ISLAND | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
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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.