HERITAGE COMMUNITY CHARTER SCHOOL (NPI# 1881074235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881074235 |
| Entity Type | Organization |
| Organization Name | HERITAGE COMMUNITY CHARTER SCHOOL |
| Practice Address |
1803 E Ustick Rd Caldwell ID 83605-6607 |
| Practice Telephone | 2084538070 |
| Mailing Telephone | 2084538070 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | MR. JAVIER CASTANEDA (ADMINISTRATOR) |
| Authorized Official Telephone | 2084538070 |
| Authorized Official Credential | MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
1803 E USTICK RD |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-6607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1760946875 | Lisa Ann Carriere | Speech-Language Pathologist | 25587 Tee Dr, Caldwell, ID 83607-8446 | 2019-01-23 |
| 1528510906 | Nicole Makowski | Speech-Language Pathologist | 333 Bloomfield Ave Ste 102, Caldwell, NJ 07006-5105 | 2016-11-01 |
| 1295149094 | Cara Jackson | Speech-Language Pathologist | 1906 Fairview Ave Ste 330, Caldwell, ID 83605-5425 | 2014-06-19 |
| 1245652973 | Suzanne Pubal | Speech-Language Pathologist | 44350 Fairground Rd, Caldwell, OH 43724-9677 | 2014-01-15 |
| 1336429653 | Rebecca Renee Fish | Speech-Language Pathologist | 15081 Widgeon Ave, Caldwell, ID 83607-8383 | 2011-08-17 |
| 1811109242 | Mariana Maritato | Speech-Language Pathologist | 718 Main St # 1a, Caldwell, ID 83605-3744 | 2007-05-06 |
| 1245843069 | Shannon Spencer | Speech-Language Pathologist | 333 Bloomfield Ave Ste 102, Caldwell, NJ 07006-5167 | 2020-08-31 |
| 1134745250 | Rebecca Marie Lotwich | Speech-Language Pathologist | 333 Bloomfield Ave, Caldwell, NJ 07006-5105 | 2020-06-24 |
| 1467013920 | Stefanie Glaspell | Speech-Language Pathologist | 1906 Fairview Ave, Caldwell, ID 83605-5407 | 2019-06-25 |
| 1477013134 | Francesca Ilardi | Speech-Language Pathologist | 333 Bloomfield Ave, Caldwell, NJ 07006-5105 | 2019-03-20 |
| Find all providers in CALDWELL | ||||
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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.