ELLEN LIVERSIDGE (NPI# 1023549284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023549284 |
| Entity Type | Individual |
| Full Name | ELLEN LIVERSIDGE |
| Credential | M.S., CCC-SLP |
| Practice Address |
Hwy 64, Old High School Rd. Shiprock NM 87420 |
| Mailing Address |
4923 Del Monte Ave San Diego CA 92107-3208 |
| Practice Telephone | 5053684984 |
| Mailing Telephone | 3017753649 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5271 | NM | Speech, Language and Hearing Service Providers |
| Street Address |
HWY 64, OLD HIGH SCHOOL RD. |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1659811156 | Jacqueline Mckay | Registered Nurse | 1199 Hwy 64, Shiprock, NM 87420 | 2017-03-02 |
| Find all providers in zip 87420 | ||||
| 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 |
|---|---|---|---|---|
| 1356763635 | Patricia Hill | Speech-Language Pathologist | Old Shiprock Highschool Rd, Bldg B, Shiprock, NM 87420-1199 | 2014-01-06 |
| 1104330158 | Sarah Julia Carter | Speech-Language Pathologist | Us Hwy 64 Old High School Rd, Shiprock, NM 87420 | 2017-11-29 |
| 1114302148 | Joshuaa Dominic Allison-burbank | Speech-Language Pathologist | Us Hwy 491 North, Shiprock, NM 87420 | 2015-07-20 |
| 1023142965 | Heidi E. Larson | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1770617524 | Corina M. Martinez | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1285768093 | Paula M. Magnuson | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-15 |
| 1235262502 | Cheryl Lea Oelze | Speech-Language Pathologist | Us Hwy 64 Old High School Road, Shiprock, NM 87420 | 2007-03-14 |
| 1629109194 | Marcella R. Nordhus | Speech-Language Pathologist | Us Hwy 64 Old High School Rd, Shiprock, NM 87420 | 2007-03-08 |
| 1447381041 | William Raymond Larrick | Speech-Language Pathologist | Us Hwy 491 North, Shiprock, NM 87420 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009829 | Katlyn Ann Ferguson | Speech-Language Pathologist | 4316 Sabana Loop Se Apt D, Rio Rancho, NM 87124-1422 | 2020-10-05 |
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1164035705 | Deanna Mari Cordova | Speech-Language Pathologist | 1517 S Main Ave, Portales, NM 88130-6928 | 2020-08-24 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1508476508 | Betty Joanne Hauser | Speech-Language Pathologist | 3401 E 30th St Ste A, Farmington, NM 87402-8805 | 2020-08-04 |
| 1477176758 | New Mexico Speech and Swallowing Services, LLC | Speech-Language Pathologist | 400 E College Blvd Ste E, Roswell, NM 88201-7570 | 2020-05-21 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1124653191 | Megan Mcnutt | Speech-Language Pathologist | 18 Copper Ridge Dr, Silver City, NM 88061-8629 | 2020-03-10 |
| 1104450139 | Jennifer Edwards | Speech-Language Pathologist | 700 W Stevens St, Carlsbad, NM 88220-4958 | 2020-02-28 |
| 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.