CHARLE BORDEAU (NPI# 1821407883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821407883 |
| Entity Type | Individual |
| Full Name | CHARLE BORDEAU |
| Practice Address |
3400 W Washington St Springfield IL 62711-7917 |
| Practice Telephone | 2177879600 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.006445 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
3400 W WASHINGTON ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-7917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932160009 | David M Schneller | Physical Therapist | 3400 W Washington St, Springfield, IL 62711-7917 | 2006-03-29 |
| 1407337538 | Reagan Worth | Occupational Therapist | 3400 W Washington St, Springfield, IL 62711-7917 | 2018-08-27 |
| 1386124915 | Sara J Cox | Physical Therapist | 3400 W Washington St, Springfield, IL 62711-7917 | 2018-08-14 |
| 1003302274 | Barbara Lynn Notz | Physical Therapist | 3400 W Washington St, Springfield, IL 62711-7917 | 2018-07-10 |
| 1790150530 | Samantha Susan Sitki | Occupational Therapist | 3400 W Washington St, Springfield, IL 62711-7917 | 2015-12-04 |
| 1235579673 | Amruta Pradhan | Physical Therapist | 3400 W Washington St, Springfield, IL 62711-7917 | 2013-06-30 |
| 1780991612 | Lewis Memorial Christian Village | Skilled Nursing Facility | 3400 W Washington St, Springfield, IL 62711-7917 | 2010-09-14 |
| 1417264391 | Lewis Memorial Christian Village | Preferred Provider Organization | 3400 W Washington St, Springfield, IL 62711-7917 | 2010-09-13 |
| 1154638021 | Lewis Memorial Christian Village | Preferred Provider Organization | 3400 W Washington St, Springfield, IL 62711-7917 | 2010-09-13 |
| 1891001319 | Sarah H Hennemann | Physical Therapist | 3400 W Washington St, Springfield, IL 62711-7917 | 2010-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| 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 |
|---|---|---|---|---|
| 1023623105 | Heather Dugas | Speech-Language Pathologist | 25190 Blood River Road, Springfield, LA 70462 | 2020-09-15 |
| 1871107003 | Paige Marie Steer | Speech-Language Pathologist | 531 W Harding Rd, Springfield, OH 45504-1708 | 2020-09-04 |
| 1578173241 | Kelley Hickman | Speech-Language Pathologist | 897 S 55th Pl, Springfield, OR 97478-6978 | 2020-08-06 |
| 1639792740 | Lindsay Anne Douglas | Speech-Language Pathologist | 3050 S National Ave Ste 106, Springfield, MO 65804-4242 | 2020-05-22 |
| 1770106320 | Jeanette Spirides | Speech-Language Pathologist | 7811 Jansen Dr, Springfield, VA 22152-2423 | 2020-05-18 |
| 1346862505 | Elisabeth Amy Mlawski | Speech-Language Pathologist | 16 Elmwood Rd, Springfield, NJ 07081-2419 | 2020-05-11 |
| 1720623929 | Amber Dejianne | Speech-Language Pathologist | 100 Stone Hill Rd Apt J2, Springfield, NJ 07081-2126 | 2019-11-12 |
| 1558902775 | Stephanie L Mcbratney | Speech-Language Pathologist | 3510 E Whitehall Dr, Springfield, MO 65809-2135 | 2019-09-30 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1164071445 | Desiree Herring | Speech-Language Pathologist | 103 Runnymead Dr, Springfield, TN 37172-5730 | 2019-09-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
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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.