AMANDA L PETERSON (NPI# 1972069730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972069730 |
| Entity Type | Individual |
| Full Name | AMANDA L PETERSON |
| Practice Address |
200 E Court St Ste 708 Kankakee IL 60901-3845 |
| Mailing Address |
740 O Connell St New Lenox IL 60451-2935 |
| Practice Telephone | 8153045548 |
| Mailing Telephone | 8155796311 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 242.005210 | IL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10480 Nebraska St, Frankfort, IL 604232235 | 8154693366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629559992 | Amanda Ann Peterson | Dietitian, Registered | 6405 France Ave S Ste 480, Edina, MN 55435-2172 | 2018-08-24 |
| 1891230710 | Amanda Kay Peterson | Chiropractor | 421 Front St S, Barnesville, MN 56514-3656 | 2017-01-01 |
| 1528420486 | Amanda Peterson | Counselor | 9580 W Reno Ave, Unit 111, Las Vegas, NV 89148-1710 | 2016-03-22 |
| 1427467828 | Amanda Jean Peterson | Physical Therapist | 1045 Broadway Park Ste 107, Homewood, AL 35209-6256 | 2014-08-11 |
| 1528328275 | Amanda Peterson | Dietitian, Registered | 25 Courtenay Drive, Suite 7100a Msc 290, Medical University of South Carolina, Charleston, SC 29425 | 2012-05-29 |
| 1922605641 | Amanda Peterson | Physical Therapist | 140 S Main St, Saint Albans, VT 05478-1895 | 2020-10-06 |
| 1245851575 | Amanda Lynn Peterson | Pharmacist | 2001 Court Ave, Chariton, IA 50049-1955 | 2020-04-28 |
| 1396371100 | Amanda Mae Peterson | Advanced Practice Midwife | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-03-13 |
| 1982235354 | Amanda Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-04 |
| 1659939320 | Amanda Lee Peterson | Behavior Technician | 245 1st St, Cambridge, MA 02142-1200 | 2019-05-29 |
| Street Address |
200 E COURT ST STE 708 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871874826 | Maria Yakos | Speech-Language Pathologist | 200 E Court St Ste 708, Kankakee, IL 60901-3845 | 2011-09-05 |
| 1144736026 | Brianna Jean Baltrusis | Speech-Language Pathologist | 200 E Court St Ste 708, Kankakee, IL 60901-3845 | 2017-12-14 |
| 1417405622 | Kayla Wetzel | Speech-Language Pathologist | 200 E Court St Ste 708, Kankakee, IL 60901-3845 | 2016-09-15 |
| 1992132849 | Yakos Therapy Inc | Speech-Language Pathologist | 200 E Court St Ste 708, Kankakee, IL 60901-3845 | 2013-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| 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 |
|---|---|---|---|---|
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1417423427 | Christy Olsen Strole | Speech-Language Pathologist | 2255 Fox Run Dr, Kankakee, IL 60901-8358 | 2018-10-17 |
| 1114451036 | Kristi Hendershott | Speech-Language Pathologist | 2614 Waldron Rd, Kankakee, IL 60901-5974 | 2017-04-18 |
| 1134463938 | Sara Lambert | Speech-Language Pathologist | 411 S Main Ave, Kankakee, IL 60901-3034 | 2012-11-16 |
| 1871874826 | Maria Yakos | Speech-Language Pathologist | 200 E Court St Ste 708, Kankakee, IL 60901-3845 | 2011-09-05 |
| 1790839249 | Brenda Ann Zuccollo | Speech-Language Pathologist | 602 N Fifth Avenue, Kankakee, IL 60901 | 2007-01-22 |
| 1447328554 | Jan A Reed | Speech-Language Pathologist | 2423 Girard Turn, Kankakee, IL 60901-7360 | 2006-11-30 |
| 1932727229 | Elizabeth Ann Christian | Speech-Language Pathologist | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-07-13 |
| 1649897471 | Taryn Mackenzie Linke | Speech-Language Pathologist | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-06-27 |
| 1417592494 | Elizabeth Maxwell | Speech-Language Pathologist | 901 N Entrance Ave, Kankakee, IL 60901-2026 | 2019-11-13 |
| Find all providers in KANKAKEE | ||||
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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.