MRS. KRISTIN ANN WACKERLIN (NPI# 1932444270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932444270 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN ANN WACKERLIN |
| Practice Address |
1015 Oconor Ave La Salle IL 61301-1216 |
| Mailing Address |
1417 N 2401st Rd Ottawa IL 61350-9205 |
| Practice Telephone | 8158300718 |
| Mailing Telephone | 8158300178 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.012393 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
1015 OCONOR AVE |
| City | LA SALLE |
| State | IL |
| Zip Code | 61301-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448627 | Alan J Blomquist | Social Worker | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2007-01-02 |
| 1417555020 | Peter O'keefe | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2020-10-15 |
| 1710531470 | Mackenzie Elise Benning | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2019-07-30 |
| 1972169985 | Jennifer Lynn Burwell | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2019-05-15 |
| 1750870382 | Bree N Carlson | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2018-05-09 |
| 1609226596 | Shannon Jenkins-solomon | Physical Therapy Assistant | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2016-06-21 |
| 1104287226 | Katherine Ann Schickedanz | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2016-03-17 |
| 1003207051 | Ashwin Yegneswar | Home Health | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2015-02-12 |
| 1184926511 | Karen R. Dunne | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2010-11-17 |
| 1942367453 | Illinois Veterans Home At Lasalle | Durable Medical Equipment & Medical Supplies | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2007-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
| 1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
| 1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
| 1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
| 1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
| 1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
| 1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
| 1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
| Find all providers in zip 61301 | ||||
| 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 |
|---|---|---|---|---|
| 1306317656 | Jeanna Richelle Olivero | Speech-Language Pathologist | 140 Mary Senica Ct, La Salle, IL 61301-9658 | 2018-12-16 |
| 1366918682 | Speech Suite 815 | Speech-Language Pathologist | 838 1st St, La Salle, IL 61301-2508 | 2018-10-15 |
| 1174807762 | Lindsay Michelle Varra | Speech-Language Pathologist | 23830 County Road 48, La Salle, CO 80645-8612 | 2011-09-30 |
| 1346314283 | Veronica Barbara Jenkins | Speech-Language Pathologist | 1165 Saint Vincents Ave, La Salle, IL 61301-1628 | 2006-11-20 |
| 1215544994 | Caitlyn Golden | Speech-Language Pathologist | 23830 County Road 48, La Salle, CO 80645-8612 | 2020-09-28 |
| 1750870382 | Bree N Carlson | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2018-05-09 |
| 1972018794 | Susan May | Speech-Language Pathologist | 297 N 33rd Rd, La Salle, IL 61301-9728 | 2017-12-04 |
| 1245623651 | Sarah Lavieri | Speech-Language Pathologist | 206 Marquette St, La Salle, IL 61301-8863 | 2015-03-09 |
| 1649545815 | Joscelyn Catrine Pohar | Speech-Language Pathologist | 941 6th St, La Salle, IL 61301-2205 | 2012-03-20 |
| 1184926511 | Karen R. Dunne | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2010-11-17 |
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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.