JAYNE MARIE HETTENBAUGH (NPI# 1912152463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912152463 |
| Entity Type | Individual |
| Full Name | JAYNE MARIE HETTENBAUGH |
| Credential | M.A. CCC-SLP |
| Practice Address |
126 Larkin Street Ext Randolph NY 14772-9651 |
| Mailing Address |
P.o.box 53 126 Larkin Street Randolph NY 14772-0053 |
| Practice Telephone | 7163589236 |
| Mailing Telephone | 7163589236 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 007795-1 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
126 LARKIN STREET EXT |
| City | RANDOLPH |
| State | NY |
| Zip Code | 14772-9651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104136985 | Deborah Jane Fischer | Registered Nurse | 4773 Windmill Rd., Randolph, NY 14772 | 2010-10-14 |
| 1215911979 | Walter Howard Warriner | Nurse Practitioner | 356 Main Street, Randolph, NY 14772 | 2005-12-05 |
| 1780994855 | Connie Lynne Mckay | Licensed Practical Nurse | 19 New St, Randolph, NY 14772-1013 | 2010-10-07 |
| 1174623359 | James G Mruk | Dentist | 11 School St, Randolph, NY 14772-1103 | 2006-09-25 |
| 1639567753 | Michelle Lynn Miller | Registered Nurse | 15 College Ave, Apt 1, Randolph, NY 14772-1105 | 2014-12-23 |
| 1629550264 | Alexa Dinapoli | Speech-Language Pathologist | 18 Main St, Randolph, NY 14772-1112 | 2018-08-30 |
| 1205117348 | Cheryl Wascher | Speech-Language Pathologist | 22 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1366723496 | Kathleen Janet Bushnell | Occupational Therapy Assistant | 18 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1144360033 | Randolph Central School District | Local Education Agency (LEA) | 22 Main St, Randolph, NY 14772-1112 | 2007-02-08 |
| 1184747511 | Gail Chester Sandy | Pharmacist | 117 Main St, Randolph, NY 14772-1116 | 2007-04-09 |
| Find all providers in zip 14772 | ||||
| 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 |
|---|---|---|---|---|
| 1760089643 | Stacie Koenigsberg | Speech-Language Pathologist | 22 Eagle Ct, Randolph, NJ 07869-1417 | 2020-10-05 |
| 1447861232 | Christina Resz | Speech-Language Pathologist | 31 Sandra Ln, Randolph, NJ 07869-1509 | 2020-08-14 |
| 1720466311 | Kayla R Korth | Speech-Language Pathologist | 86912 561 Ave, Randolph, NE 68771-7133 | 2015-05-14 |
| 1851642953 | Maureen Dacey Nevers | Speech-Language Pathologist | 1110 Hebard Hill Rd, Randolph, VT 05060-9152 | 2012-09-28 |
| 1821307638 | Alice Alessi | Speech-Language Pathologist | 13 N Washington St, Randolph, NY 14772-1207 | 2010-09-28 |
| 1033427778 | Brooke Patterson | Speech-Language Pathologist | 11219 Benson Rd, Randolph, NY 14772-9688 | 2010-09-15 |
| 1124335336 | Melissa Bornstein | Speech-Language Pathologist | 24 Clark St, Randolph, MA 02368-3612 | 2010-09-09 |
| 1043442510 | Mindy Strauss Kirschner | Speech-Language Pathologist | 93 Mountainside Dr, Randolph, NJ 07869-2309 | 2009-08-18 |
| 1548413347 | Lucille R Ruppel | Speech-Language Pathologist | 1143 High Acres Rd, Randolph, NH 03593 | 2008-10-24 |
| 1417107137 | Cheryl M. Thompson | Speech-Language Pathologist | 28 Clark St, Randolph, MA 02368-3612 | 2008-09-30 |
| Find all providers in RANDOLPH | ||||
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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.