AMY JENSEN-WISETSARAKOOL (NPI# 1871060392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871060392 |
| Entity Type | Individual |
| Full Name | AMY JENSEN-WISETSARAKOOL |
| Credential | M.S.,CCC-SLP |
| Practice Address |
5242 Medical Dr Rockwall TX 75032 |
| Mailing Address |
523 Indian Paintbrush Fate TX 75087-9301 |
| Practice Telephone | 9727728700 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 103194 | TX | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 523 Indian Paintbrush Dr, Rockwall, TX 75087 | 9722495914 |
| Street Address |
5242 MEDICAL DR |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083958862 | Scc Partners, Inc. | Skilled Nursing Facility | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2012-11-19 |
| 1073159208 | Medprofessional Consult LLC | Internal Medicine | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2019-11-22 |
| 1275001216 | Junefe Asuan Villania | Physical Therapist | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2018-11-07 |
| 1689159758 | Kristen Greer | Speech-Language Pathologist | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2018-09-25 |
| 1245732114 | Leticia Alejandra Campos | Speech-Language Pathologist | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2018-03-06 |
| 1396287504 | City of Ennis | Skilled Nursing Facility | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1346725579 | Arc 32 Family Dentistry | Dentist | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
| 1275039257 | Karina Bartz Dds Pllc | Dentist | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
| 1861994337 | Lumin Health Physician Group, Pa | Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
| 1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1902200199 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
| 1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
| 1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
| 1932444999 | Chiro One Wellness Center of Rockwall Pllc | Chiropractor | 2881 Market Center Drive, Rockwall, TX 75032 | 2012-12-03 |
| Find all providers in zip 75032 | ||||
| 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 |
|---|---|---|---|---|
| 1205466588 | Jenna Beth Little | Speech-Language Pathologist | 1302 Crescent Cove Dr, Rockwall, TX 75087-7246 | 2020-01-25 |
| 1548890619 | Ahmad Mike Hassan | Speech-Language Pathologist | 789 Justin Road, Rockwall, TX 75087-4840 | 2020-01-17 |
| 1740758374 | Leslie Ann Bradford | Speech-Language Pathologist | 707 Ridgeview Dr, Rockwall, TX 75087-4136 | 2018-11-13 |
| 1114407178 | Tiffany D Bishop | Speech-Language Pathologist | 1266 Crescent Cove Dr, Rockwall, TX 75087-7240 | 2018-08-20 |
| 1063904969 | Lindsey Fontenot | Speech-Language Pathologist | 1410 S Goliad St Apt 1807, Rockwall, TX 75087-4625 | 2018-06-06 |
| 1548759756 | Cecilia Rebecca Morales | Speech-Language Pathologist | 1149 Ridge Rd, Rockwall, TX 75087-4217 | 2018-05-02 |
| 1275033276 | Alison Clayton | Speech-Language Pathologist | 3036 Longhorn Ln, Rockwall, TX 75087-7602 | 2018-02-15 |
| 1770035305 | Kristen Harrold | Speech-Language Pathologist | 2507 Waterstone Ln, Rockwall, TX 75032-6847 | 2016-10-31 |
| 1851742167 | Haley Sandknop | Speech-Language Pathologist | 2701 Sunset Ridge Dr Ste 303, Rockwall, TX 75032-0047 | 2016-06-28 |
| 1790108694 | Sean Godfrey | Speech-Language Pathologist | 1515 Bell Haven Ct, Rockwall, TX 75032-7004 | 2014-01-28 |
| Find all providers in ROCKWALL | ||||
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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.