JESSICA MATOCHA HICKEY (NPI# 1982941761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982941761 |
| Entity Type | Individual |
| Full Name | JESSICA MATOCHA HICKEY |
| Other Name | JESSICA MICHELLE MATOCHA |
| Credential | SLP |
| Practice Address |
201 Watermere Dr Southlake TX 76092-8137 |
| Practice Telephone | 8173377600 |
| Practice Fax Number | 8174318232 |
| Mailing Telephone | 8173377600 |
| Mailing Fax Number | 8174318232 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 0002374 | CO | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 106843 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234171 | Jessica Ellen Hickey | Naturopath | 5781 Carnegie St, San Diego, CA 92122-3233 | 2018-11-13 |
| 1326344193 | Jessica Hickey | Behavioral Analyst | 98 Bretton Rd, Springfield, MA 01119-2850 | 2011-01-26 |
| 1285115725 | Jessica Hickey | Occupational Therapist | 300 Garden City Plz, Garden City, NY 11530-3302 | 2018-08-23 |
| 1669864062 | Jessica Marie Hickey | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2015-02-23 |
| 1922362946 | Jessica M. Hickey | Occupational Therapist | 13609 California St, Suite 200, Omaha, NE 68154-5260 | 2012-06-25 |
| Street Address |
201 WATERMERE DR |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-8137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778853 | Brenna Nolen | Speech-Language Pathologist | 201 Watermere Dr, Southlake, TX 76092-8137 | 2019-12-30 |
| 1396205852 | Dsl Tenant II LLC | Skilled Nursing Facility | 201 Watermere Dr, Southlake, TX 76092-8137 | 2019-03-21 |
| 1851850333 | Amanda C Buck | Speech-Language Pathologist | 201 Watermere Dr, Southlake, TX 76092-8137 | 2019-03-14 |
| 1336593466 | Erin Bowers | Occupational Therapist | 201 Watermere Dr, Southlake, TX 76092-8137 | 2016-04-14 |
| 1104290014 | Calye Anderson | Speech-Language Pathologist | 201 Watermere Dr, Southlake, TX 76092-8137 | 2015-11-17 |
| 1043617491 | Emily Procter | Occupational Therapist | 201 Watermere Dr, Southlake, TX 76092-8137 | 2014-12-01 |
| 1992144117 | North Tower Care Group, Lp | Skilled Nursing Facility | 201 Watermere Dr, Southlake, TX 76092-8137 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| 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 |
|---|---|---|---|---|
| 1396243119 | Shaner Speech Pathology | Speech-Language Pathologist | 771 E Southlake Blvd Ste 104, Southlake, TX 76092-6354 | 2018-01-26 |
| 1265955330 | Gail Therese Lindley | Speech-Language Pathologist | 550 Silicon Dr Ste 100, Southlake, TX 76092-7524 | 2017-07-20 |
| 1548678741 | Jeffrey A Marler | Speech-Language Pathologist | 430 N Carroll Ave, Suite 110, Southlake, TX 76092-6452 | 2014-07-31 |
| 1407191489 | Kamika Walsh | Speech-Language Pathologist | 700 E State Highway 114, Southlake, TX 76092 | 2012-12-03 |
| 1932479011 | Amanda Mcgukin | Speech-Language Pathologist | 515 Timber Lake Dr, Southlake, TX 76092-7206 | 2012-01-06 |
| 1376851055 | Brooke V. Simer | Speech-Language Pathologist | 1628 Byron Nelson Pkwy, Southlake, TX 76092-9633 | 2010-09-16 |
| 1609104967 | Heather Dunklin | Speech-Language Pathologist | 251 Watermere Dr, Southlake, TX 76092-8129 | 2009-11-25 |
| 1144412636 | Mary Rice Goodman | Speech-Language Pathologist | 1700 Shady Oaks Dr, Southlake, TX 76092-3518 | 2007-08-17 |
| 1659572188 | Kimberly Wiskow | Speech-Language Pathologist | 855 Davis Blvd, Suite 600, Southlake, TX 76092-8244 | 2007-05-31 |
| 1740493659 | Beatriz Lourido | Speech-Language Pathologist | 831 Longhorn Holw, Southlake, TX 76092-8353 | 2007-05-07 |
| Find all providers in SOUTHLAKE | ||||
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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.