REBECCA LYNN BOUCHILLON (NPI# 1861016776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861016776 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN BOUCHILLON |
| Practice Address |
302 N Midway Dr Escondido CA 92027-2708 |
| Mailing Address |
311 Cypress Crest Ter Escondido CA 92025-6624 |
| Practice Telephone | 7602913200 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 15603 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
302 N MIDWAY DR |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609923556 | Escondido Union High School District | Local Education Agency (LEA) | 302 N Midway Dr, Escondido, CA 92027-2708 | 2007-01-04 |
| 1437772274 | Deborah Susan Riley | Speech-Language Pathologist | 302 N Midway Dr, Escondido, CA 92027-2708 | 2020-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| 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 |
|---|---|---|---|---|
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1790107415 | Ruth Elaine Van Hasselt | Speech-Language Pathologist | 2119 Valley Rim Gln, Escondido, CA 92026-3839 | 2014-01-15 |
| 1497036990 | Pamela Myers | Speech-Language Pathologist | 2486 Quail Creek Pl, Escondido, CA 92027-6740 | 2011-08-29 |
| 1497050850 | Stacey Ann Forbes | Speech-Language Pathologist | 1934 Fleetwood St, Escondido, CA 92029-4154 | 2011-01-17 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1386955300 | Rinda Elizabeth Werner | Speech-Language Pathologist | 3300 Bear Valley Pkwy S, Escondido, CA 92025-7636 | 2010-06-24 |
| 1346574597 | Pamela Erdman | Speech-Language Pathologist | 1120 Birch Ave, Escondido, CA 92027-3907 | 2009-09-21 |
| 1447865035 | Kathleen Mackay Swauger | Speech-Language Pathologist | 100 Holland Gln, Escondido, CA 92026-1354 | 2020-09-10 |
| 1437772274 | Deborah Susan Riley | Speech-Language Pathologist | 302 N Midway Dr, Escondido, CA 92027-2708 | 2020-05-27 |
| 1962032821 | Nicole Miller | Speech-Language Pathologist | 800 E Ohio Ave, Escondido, CA 92025-3421 | 2020-01-20 |
| Find all providers in ESCONDIDO | ||||
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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.