KELLIE O'BRIEN (NPI# 1942814769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942814769 |
| Entity Type | Individual |
| Full Name | KELLIE O'BRIEN |
| Practice Address |
5601 Brookmere St Edwards IL 61528-9408 |
| Practice Telephone | 3093637594 |
| Practice Fax Number | 3099663621 |
| Mailing Telephone | 3093637594 |
| Mailing Fax Number | 3099663621 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 242.005831 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962608315 | Kellie Faye O'brien | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2007-06-22 |
| Street Address |
5601 BROOKMERE ST |
| City | EDWARDS |
| State | IL |
| Zip Code | 61528-9408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346504586 | Sarah Myers | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2012-07-03 |
| 1295208379 | Way To Grow Pediatric Therapy Inc | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033365291 | Mathew J Maupin | Nurse Anesthetist, Certified Registered | 5401 N. Knoxville Suite 416, Peoria, IL 61528 | 2008-08-07 |
| 1639405160 | Gayle Fengel | Dietitian, Registered | 6405 W Willow Oak Ct, Edwards, IL 61528-9419 | 2009-10-17 |
| 1033249362 | Priscilla Ann Weaver | Physical Therapist | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2007-03-06 |
| 1740735646 | Movement Specialists Physical Therapy, LLC | Early Intervention Provider Agency | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2016-08-20 |
| 1194279240 | John P Weaver | Physical Therapy Assistant | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2016-08-06 |
| 1184729824 | Hillary Jane Wasson | Social Worker | 6513 N Fox Chapel Trl, Edwards, IL 61528-9528 | 2006-09-14 |
| 1972978989 | Paricia Rosenbaum | Physical Therapy Assistant | 7021 W Challacombe Rd, Edwards, IL 61528-9534 | 2015-12-02 |
| 1659801199 | Elizabeth Ann Groeper | Speech-Language Pathologist | 6022 N Heinz Ln, Edwards, IL 61528-9550 | 2017-06-18 |
| 1871820902 | Joshua Adam Barnewolt | Chiropractor | 7814 N Kickapoo Edwards Rd, Suite A, Edwards, IL 61528-9564 | 2009-11-10 |
| 1730417650 | Barnewolt & Barnewolt Chiropractic PC | Chiropractor | 7814 N Kickapoo Edwards Rd, Suite A, Edwards, IL 61528-9564 | 2009-12-04 |
| Find all providers in zip 61528 | ||||
| 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 |
|---|---|---|---|---|
| 1083132302 | Lindsey Alvey | Speech-Language Pathologist | 10107 W Us Highway 150, Edwards, IL 61528-9774 | 2017-09-07 |
| 1659801199 | Elizabeth Ann Groeper | Speech-Language Pathologist | 6022 N Heinz Ln, Edwards, IL 61528-9550 | 2017-06-18 |
| 1457704280 | Gretchen Stich | Speech-Language Pathologist | 34 Marble, Edwards, CO 81632-7702 | 2016-07-17 |
| 1346504586 | Sarah Myers | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2012-07-03 |
| 1780993667 | Daniela Paula Rodriguez Melgarejo | Speech-Language Pathologist | 33 Cross Timber Street, Edwards, CO 81632 | 2010-09-27 |
| 1689824807 | Janet Louise Declark | Speech-Language Pathologist | 388 Eagle Crest Rd., Edwards, CO 81632-0345 | 2008-09-24 |
| 1134306848 | Sherri A Glenn | Speech-Language Pathologist | 23395 Highway 7, Edwards, MO 65326-3348 | 2008-01-24 |
| 1295208379 | Way To Grow Pediatric Therapy Inc | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2019-01-10 |
| 1093226532 | Annemarie Finn | Speech-Language Pathologist | 0294 Meile Lane, Edwards, CO 81632-2656 | 2017-10-23 |
| 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.