MICHELLE LYNN BOGNANNO (NPI# 1851858880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851858880 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN BOGNANNO |
| Credential | M.A., CCC-SLP/L |
| Practice Address |
2404 E Empire St Bloomington IL 61704-3630 |
| Mailing Address |
507 E Armstrong Ave Peoria IL 61603-3201 |
| Practice Telephone | 3096638275 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146015096 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
2404 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947974 | Debra Dietrich | Psychologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2007-06-05 |
| 1235785106 | Meghan Cotsones | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-08-15 |
| 1457817199 | Margaret Renee Jones | Social Worker | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-02-19 |
| 1386129864 | Hallie M Johnson | Behavioral Analyst | 2404 E Empire St, Bloomington, IL 61704-3630 | 2018-10-01 |
| 1336515022 | Amanda Gruber | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2015-08-17 |
| 1033548367 | Jim Cooper | Developmental Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2013-11-07 |
| 1134427669 | Easter Seals | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2011-03-08 |
| 1801103528 | Erin Marlene Fabish | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2010-09-01 |
| 1972734861 | Jamie J Fifarek | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2009-07-27 |
| 1144492257 | Laurie Marie Jeans | Specialist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2008-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| 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 |
|---|---|---|---|---|
| 1013542067 | Kathleen T Schlais | Speech-Language Pathologist | 605 Bradley Dr Apt C, Bloomington, IL 61701-2244 | 2020-03-10 |
| 1134789936 | Sara Jean Farmer | Speech-Language Pathologist | 2001 S Morris Ave Apt 5, Bloomington, IL 61704-7513 | 2019-06-14 |
| 1538638614 | Erin Elizabeth Gratzer | Speech-Language Pathologist | 963 S State Road 446, Bloomington, IN 47401-8813 | 2018-11-18 |
| 1568944569 | Amy Mammadov | Speech-Language Pathologist | 7 Callahan Ct, Bloomington, IL 61705-1701 | 2018-09-05 |
| 1336620087 | Alycia Leane Carroll | Speech-Language Pathologist | 1605 E Oakland Ave, Bloomington, IL 61701-5617 | 2018-08-21 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1275079089 | Michele Jean Johnson | Speech-Language Pathologist | 3211 Clairbridge Dr, Bloomington, IL 61704-9474 | 2017-01-18 |
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1386198778 | Nicole Marie Hartke | Speech-Language Pathologist | 3122 Rudder Ln Apt 105, Bloomington, IL 61704-8203 | 2016-08-15 |
| 1912385394 | Melissa Velazquez | Speech-Language Pathologist | 618 S Bobcat Bnd, Bloomington, IN 47403-8011 | 2015-05-18 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MICHELLE LYNN BOGNANNO.
| 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.