CALLIE L JEROME (NPI# 1952420713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952420713 |
| Entity Type | Individual |
| Full Name | CALLIE L JEROME |
| Credential | MA, CCC SLP |
| Practice Address |
251 Forest Ln Montello WI 53949-9380 |
| Mailing Address |
Po Box 172 Kingston WI 53939-0172 |
| Practice Telephone | 6082972153 |
| Practice Fax Number | 6082979328 |
| Mailing Telephone | 9203942010 |
| Mailing Fax Number | 6082979328 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2691154 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42576800 | 05 |
| Street Address |
251 FOREST LN |
| City | MONTELLO |
| State | WI |
| Zip Code | 53949-9380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884020 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 251 Forest Ln, Montello, WI 53949-9380 | 2005-07-11 |
| 1730452210 | Tanya Schonasky | Occupational Therapy Assistant | 251 Forest Ln, Montello, WI 53949-9380 | 2012-02-14 |
| 1437277738 | Margaret R Kraemer | Physical Therapy Assistant | 251 Forest Ln, Montello, WI 53949-9380 | 2007-03-26 |
| 1386769867 | Christine Lee Smith | Occupational Therapy Assistant | 251 Forest Ln, Montello, WI 53949-9380 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013182757 | Marquette County Dhs | Nursing Care | 428 Underwood Ave, Montello, WI 53949 | 2008-04-24 |
| 1588782676 | Jody Ann Triggs | Occupational Therapist | 251 Forest Lane, Montello Care Center, Montello, WI 53949 | 2007-03-27 |
| 1396966560 | Shannon Stacey Harmon | Physical Therapy Assistant | 251 Forest Lane, Montello, WI 53949 | 2007-05-02 |
| 1093734162 | County of Marquette | Public Health or Welfare | 480 Underwood Avenue, Montello, WI 53949-0181 | 2006-07-19 |
| 1306841317 | County of Marquette | Ambulance | 480 Underwood Ave, Montello, WI 53949-0181 | 2005-06-16 |
| 1326180738 | Irene E Quandt | Chiropractor | 65 W Park Street, Montello, WI 53949-0277 | 2007-02-13 |
| 1093889396 | Bentley Pharmacies Inc | Pharmacy | 25 W Montello St, Montello, WI 53949-0366 | 2006-11-20 |
| 1669706321 | Susan Maxeen Hunter | Marriage & Family Therapist | W4276 Gale Ave, Montello, WI 53949-7718 | 2009-09-29 |
| 1396222345 | Cynthia Joan Jurishica | Social Worker | W5750 Fish Ct, Montello, WI 53949-7862 | 2018-07-23 |
| 1508919390 | Julie Jean Hecker | Licensed Practical Nurse | W814 Arrowhead Road, Montello, WI 53949-7943 | 2007-01-18 |
| Find all providers in zip 53949 | ||||
| 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 |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1659972982 | Patricia Theisen | Speech-Language Pathologist | 1515 Greenview Ave, Janesville, WI 53548-2800 | 2020-11-03 |
| 1487254108 | Samantha Lee Roberts | Speech-Language Pathologist | 3311 E Parkside Blvd Apt 125, Appleton, WI 54915-5631 | 2020-10-30 |
| 1134728751 | Mahwish Hashmi | Speech-Language Pathologist | 198 Caraway Pl, Sun Prairie, WI 53590-9537 | 2020-10-23 |
| 1891394508 | Lisa Kay Gaede | Speech-Language Pathologist | 424 River Dr, Black River Falls, WI 54615-9001 | 2020-10-22 |
| 1083213276 | Laura Swenson | Speech-Language Pathologist | 1922 State Road 87, Saint Croix Falls, WI 54024-7937 | 2020-10-20 |
| 1427656453 | Suzanne Q Hamilton | Speech-Language Pathologist | 2304 Hillcrest Dr, Janesville, WI 53545-4318 | 2020-10-12 |
| 1689272841 | Unbridled Abilities, LLC. | Speech-Language Pathologist | 1149 River Ridge Rd, River Falls, WI 54022-3412 | 2020-10-10 |
| 1104423490 | Tresa S Van Roo | Speech-Language Pathologist | W124 Us Highway 10, Mondovi, WI 54755-7837 | 2020-10-08 |
| 1538775531 | Haley Davidson | Speech-Language Pathologist | 960 S Rapids Rd # 4146, Manitowoc, WI 54220-4146 | 2020-09-16 |
| 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.