STEPHANIE C WHITAKER (NPI# 1962042119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962042119 |
| Entity Type | Individual |
| Full Name | STEPHANIE C WHITAKER |
| Practice Address |
3817 Colonel Glenn Hwy Beavercreek OH 45324-2268 |
| Mailing Address |
7591 Tylers Place Blvd West Chester OH 45069-6308 |
| Practice Telephone | 9374279200 |
| Mailing Telephone | 5137556600 |
| Mailing Fax Number | 5137553762 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | COND.20191079-SP | OH | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE PIN | AB7360731 | 01 |
| OH | 0406425 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003315748 | Stephanie Whitaker | Registered Nurse | 5528 County Road 874, Cushing, TX 75760-5186 | 2018-02-08 |
| 1750982245 | Stephanie Diane Whitaker | Pharmacist | 5110 College Ave, Snyder, TX 79549-6112 | 2020-11-03 |
| 1770078966 | Stephanie Whitaker | Registered Nurse | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2018-06-29 |
| 1093822058 | Stephanie K Whitaker | Nurse Anesthetist, Certified Registered | 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124-4089 | 2006-08-24 |
| Street Address |
3817 COLONEL GLENN HWY |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45324-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689757312 | Krista Coppess | Physical Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324 | 2006-10-24 |
| 1124643457 | Alex Michael Buchkovich | Physical Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2268 | 2020-06-12 |
| 1699300400 | Kara M Birkemeier | Occupational Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2268 | 2020-03-12 |
| 1053943142 | Amanda Klotter | Occupational Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2268 | 2020-02-07 |
| 1427607209 | Jordan M Frauhiger | Speech-Language Pathologist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2031 | 2019-09-05 |
| 1568010189 | Megan Phillips | Speech-Language Pathologist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2268 | 2019-08-27 |
| 1366099442 | Juliana Maria Prine | Physical Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2031 | 2019-08-22 |
| 1740836451 | Kelsey Nicole Platek | Occupational Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2268 | 2019-08-18 |
| 1306498183 | Carrie R Guay | Speech-Language Pathologist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2031 | 2019-07-12 |
| 1649822560 | Lindsey M Norris | Occupational Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2031 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| 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 |
|---|---|---|---|---|
| 1619581907 | Jill Elizabeth Jackson | Speech-Language Pathologist | 2935 Vista View Dr Apt 4, Beavercreek, OH 45431-8832 | 2020-09-03 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1871995886 | Sarah Baidel | Speech-Language Pathologist | 2570 Gleneagles Rd, Apt-e, Beavercreek, OH 45324-7564 | 2014-09-22 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1639579873 | Elyse Graves | Speech-Language Pathologist | 3188 Lantz Rd, Beavercreek, OH 45432-2518 | 2014-08-25 |
| 1053711309 | Lea Ann Hinkle | Speech-Language Pathologist | 2942 Dayton Xenia Rd, Beavercreek, OH 45434-6306 | 2014-08-23 |
| 1730588385 | Sarah Sue Miller | Speech-Language Pathologist | 1791 Wilene Dr, Beavercreek, OH 45432-4016 | 2014-08-20 |
| 1609290501 | Holly Lengefeld | Speech-Language Pathologist | 3040 Kemp Rd, Beavercreek, OH 45431-2644 | 2014-02-12 |
| 1790008985 | Katherine Haubert | Speech-Language Pathologist | 3560 Kemp Rd, Beavercreek, OH 45431-2532 | 2010-03-02 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45324 |
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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.