KATHY KELLEY BOOZIOTIS (NPI# 1861901647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861901647 |
| Entity Type | Individual |
| Full Name | KATHY KELLEY BOOZIOTIS |
| Practice Address |
4033 S Illinois Ave Carbondale IL 62903-8375 |
| Mailing Address |
811 S Liberty Ln Carbondale IL 62902-5072 |
| Practice Telephone | 6185294151 |
| Practice Fax Number | 6185294154 |
| Mailing Telephone | 6185346592 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146002646 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
4033 S ILLINOIS AVE |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62903-8375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871710863 | Unity Point Cc School Dist 140 | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2007-04-19 |
| 1528234499 | Unity Point School Admin | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-05-01 |
| 1902077043 | Unity Point School | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
| 1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
| 1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
| 1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
| 1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
| 1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
| 1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
| 1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
| Find all providers in zip 62903 | ||||
| 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 |
|---|---|---|---|---|
| 1073129383 | Molly Louise Lauterbach | Speech-Language Pathologist | 508 S Wall St Apt 111, Carbondale, IL 62901-3273 | 2020-09-22 |
| 1245759281 | Angela M Jenkins | Speech-Language Pathologist | 1025 N Wall St, Carbondale, IL 62901-1737 | 2017-09-11 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1376060012 | Nancy Ann Fisk | Speech-Language Pathologist | 801 S Lewis Ln, Carbondale, IL 62901-3408 | 2017-08-24 |
| 1508383399 | Melissa Ann Cobin | Speech-Language Pathologist | 121 N Parrish Ln, Carbondale, IL 62901-2024 | 2017-08-23 |
| 1003265166 | Communication Corner Speech Language Therapy LLC | Speech-Language Pathologist | 0402 Summit Drive, Carbondale, CO 81623 | 2016-06-09 |
| 1992152581 | Laurian Dicks Jr. | Speech-Language Pathologist | 70 Canary Rd, Carbondale, IL 62903-7641 | 2016-05-24 |
| 1174997944 | Kathryn Martin | Speech-Language Pathologist | 625 Wham Dr Rm 141, Carbondale, IL 62901-4313 | 2015-11-17 |
| 1811375686 | Shawna Marie Pope | Speech-Language Pathologist | 3578 S Illinois Ave, Carbondale, IL 62903-8364 | 2015-05-13 |
| 1356769905 | Jenna D'alessandro | Speech-Language Pathologist | 44 Clark Ave, Carbondale, PA 18407-1657 | 2014-04-01 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62903 |
Please comment or provide details below to improve the information on KATHY KELLEY BOOZIOTIS.
| 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.