CONSTANCE M KELSEY (NPI# 1962030320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962030320 |
Entity Type | Individual |
Full Name | CONSTANCE M KELSEY |
Credential | SLP |
Practice Address |
11040 N State Road 77 Hayward WI 54843-3606 |
Practice Telephone | 7159344215 |
Practice Fax Number | 7159345416 |
Mailing Telephone | 7159344215 |
Mailing Fax Number | 7159345416 |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 1400-154 | WI | Speech, Language and Hearing Service Providers |
Street Address |
11040 N STATE ROAD 77 |
City | HAYWARD |
State | WI |
Zip Code | 54843-3606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912992827 | Medical Services, Inc | General Acute Care Hospital | 11040 N State Road 77, Hayward, WI 54843-6391 | 2005-09-16 |
1255968418 | Kory Lutz | Physical Therapist | 11040 N State Road 77, Hayward, WI 54843-3606 | 2020-03-26 |
1881221059 | Erinn Greta Bratley | Occupational Therapist | 11040 N State Road 77, Hayward, WI 54843-3606 | 2020-03-26 |
1760034193 | Barbara L Bowman | Physician Assistant | 11040 N State Road 77, Hayward, WI 54843 | 2019-07-16 |
1003281809 | Ashland Audiology LLC | Clinic/Center | 11040 N State Road 77, Hayward, WI 54843-6391 | 2015-12-04 |
1497136428 | Andrea Yancey | Physician Assistant | 11040 N State Road 77, Hayward, WI 54843-3606 | 2015-06-16 |
1376954792 | Martha Krasean | Nurse Practitioner | 11040 N State Road 77, Hayward, WI 54843-3606 | 2014-05-20 |
1386055747 | Sarah Dums | Nurse Practitioner | 11040 N State Road 77, Hayward, WI 54843-3606 | 2014-05-19 |
1336405893 | Gregory Alan Lehman | Radiologic Technologist | 11040 N State Road 77, Hayward, WI 54843-6391 | 2012-04-09 |
1225280050 | Mary L. Van Vonderen | Nurse Practitioner | 11040 N State Road 77, Hayward, WI 54843-3606 | 2008-10-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
Find all providers in zip 54843 |
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 |
---|---|---|---|---|
1154814978 | Prashanth Manoharan | Speech-Language Pathologist | 28761 Hayward Blvd, Hayward, CA 94542-2213 | 2018-06-07 |
1750893947 | Heather Ismay | Speech-Language Pathologist | 669 Dartmore Ln Apt 152, Hayward, CA 94544-6786 | 2017-10-29 |
1952812323 | Ruchi Kapila | Speech-Language Pathologist | 3280 Jelincic Dr, Hayward, CA 94542-1366 | 2017-10-12 |
1013441138 | Grishma Manmohan Ahluwalia | Speech-Language Pathologist | 575 Berry Ave, Apartment 36, Hayward, CA 94544-2466 | 2017-04-14 |
1326483454 | Sanjay Kumar | Speech-Language Pathologist | 614 Blue Jay Dr, Hayward, CA 94544-6729 | 2013-05-02 |
1053560326 | Dorothy Fraser Bohntinsky | Speech-Language Pathologist | 25890 Fairview Ave, Hayward, CA 94542-1410 | 2008-09-11 |
1295909059 | Cheryl Marie Churchill I | Speech-Language Pathologist | 15592 Lakewood Dr, Hayward, WI 54843-6406 | 2008-04-14 |
1891394250 | Sarah Christine Sloan | Speech-Language Pathologist | 10775 Nyman Ave, Hayward, WI 54843-6484 | 2020-10-18 |
1033777875 | Britnee Bennett | Speech-Language Pathologist | 1805 West St, Hayward, CA 94545-1932 | 2019-06-05 |
1992193411 | Julie Ortiz | Speech-Language Pathologist | 25919 Gading Rd, Hayward, CA 94544-2725 | 2015-01-06 |
Find all providers in HAYWARD |
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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.