MAKENZIE ALICEN GOBLE (NPI# 1902322076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902322076 |
| Entity Type | Individual |
| Full Name | MAKENZIE ALICEN GOBLE |
| Other Name | MAKENZIE ALICEN WARD |
| Credential | M.S. CF-SLP |
| Practice Address |
100 Ne 15th St Casey IL 62420-2152 |
| Mailing Address |
7 Ne 2nd St Casey IL 62420-1628 |
| Practice Telephone | 2179325217 |
| Mailing Telephone | 6183021400 |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 242004407 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
100 NE 15TH ST |
| City | CASEY |
| State | IL |
| Zip Code | 62420-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275166423 | Casey Hco, LLC | Skilled Nursing Facility | 100 Ne 15th St, Casey, IL 62420-2152 | 2020-02-17 |
| 1124358064 | Katie Norman | Occupational Therapy Assistant | 100 Ne 15th St, Casey, IL 62420-2152 | 2009-12-26 |
| 1174768378 | Gena Cochonour | Physical Therapy Assistant | 100 Ne 15th St, Casey, IL 62420-2152 | 2008-12-03 |
| 1033364146 | Linda Mason | Physical Therapy Assistant | 100 Ne 15th St, Casey, IL 62420-2152 | 2008-11-18 |
| 1093771800 | Casey Hco, LLC | Skilled Nursing Facility | 100 Ne 15th St, Casey, IL 62420-2152 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322296 | Champion Fitness, Inc | Clinic/Center | 1300 E. Us Highway 40, Casey, IL 62420 | 2016-09-01 |
| 1801089263 | Cory D Hanley | Physical Therapist | 1300 E Us Highway 40, Casey, IL 62420 | 2007-08-20 |
| 1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
| 1861499006 | Heartland Manor Inc Nursing Center | Skilled Nursing Facility | 410 N W Third Street, Casey, IL 62420 | 2005-07-01 |
| 1386124675 | Daniel Yi-li Wen | Dentist | 1400 E Main St, Casey, IL 62420 | 2018-08-16 |
| 1831228600 | Patrick M Niebrugge | Optometrist | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-03-05 |
| 1962696617 | Patrick Niebrugge Od | Durable Medical Equipment & Medical Supplies | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-09-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| 1891787529 | Robert Lee Dougherty | Physician Assistant | 412 Nw 3rd St, Casey, IL 62420-1014 | 2005-08-18 |
| 1952874075 | Scott E Stout | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers in zip 62420 | ||||
| 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 |
|---|---|---|---|---|
| 1053820837 | Lyn Michele Cochonour | Speech-Language Pathologist | 301 E Monroe Ave, Casey, IL 62420-1768 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1194326363 | Cheryl Clemens | Speech-Language Pathologist | 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 | 2020-11-04 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1942809231 | Progress To Success Speech Therapy Pllc | Speech-Language Pathologist | 4940 Wilderness Pt, Smithton, IL 62285-3664 | 2020-10-19 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1295332617 | Rachel Raffalo | Speech-Language Pathologist | 1050 S Euclid Ave, Elmhurst, IL 60126-5169 | 2020-10-08 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1255938908 | Norma Laura Gregorio-perez | Speech-Language Pathologist | 1601 E Main St # G, St Charles, IL 60174-2431 | 2020-10-06 |
| 1073110227 | Erin Koester | Speech-Language Pathologist | 633 County Highway 22, Cowden, IL 62422-4104 | 2020-10-01 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.