KAITLYN KONARIK (NPI# 1821586694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821586694 |
| Entity Type | Individual |
| Full Name | KAITLYN KONARIK |
| Credential | MS, CCC-SLP |
| Practice Address |
12899 E 76th St N, Ste. 109 Owasso OH 74055 |
| Mailing Address |
14715 Bristol Park Blvd Edmond OK 73013-1894 |
| Practice Telephone | 9186096003 |
| Mailing Telephone | 4058401686 |
| Mailing Fax Number | 4058401686 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
12899 E 76TH ST N, STE. 109 |
| City | OWASSO |
| State | OH |
| Zip Code | 74055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| 1659689248 | Custom Dental of Owasso, Pllc | Dentist | 11501 N. 135th East Ave, Owasso, OK 74055 | 2010-09-17 |
| Find all providers in zip 74055 | ||||
| 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 |
|---|---|---|---|---|
| 1710466792 | Mighty Oaks Pllc | Speech-Language Pathologist | 9455 N Owasso Expy Ste K, Owasso, OK 74055-5442 | 2018-08-09 |
| 1811271067 | Danielle Lynn Ray | Speech-Language Pathologist | 104 W 10th St, Owasso, OK 74055-5503 | 2011-10-06 |
| 1942580907 | Ashley R Holden | Speech-Language Pathologist | 12899 E 76th St N Ste 109, Owasso, OK 74055-4059 | 2011-08-23 |
| 1043507981 | Katie Beth Lutke | Speech-Language Pathologist | 11239 N 112th East Ave, Owasso, OK 74055-4220 | 2011-06-29 |
| 1528394194 | Terri Lynn Bieri | Speech-Language Pathologist | 13906 E 89th St N, Owasso, OK 74055-2643 | 2009-11-02 |
| 1700052461 | Christina Lorene Summers | Speech-Language Pathologist | 11404 E 100th St N, Owasso, OK 74055-6433 | 2008-05-02 |
| 1003851585 | Amanda Hanrahan | Speech-Language Pathologist | 12899 E 76th St N Unit 117, Owasso, OK 74055-4026 | 2006-06-18 |
| 1295342434 | Katie Lee Worsham | Speech-Language Pathologist | 7738 N Owasso Expy, Owasso, OK 74055-3338 | 2020-09-30 |
| 1265990675 | Preslie Watkins | Speech-Language Pathologist | 12899 E 76th St N Ste 109, Owasso, OK 74055-4059 | 2019-03-05 |
| 1427539501 | Mary Hegenbart | Speech-Language Pathologist | 12899 E 76th St N Ste 109, Owasso, OK 74055-4059 | 2018-08-27 |
| Find all providers in OWASSO | ||||
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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.