MRS. VICTORIA AMBER TAVERNER (NPI# 1053829952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053829952 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA AMBER TAVERNER |
| Practice Address |
6 Eagle Ctr Ste 1 O Fallon IL 62269-1945 |
| Practice Telephone | 6182068816 |
| Mailing Telephone | 6182068816 |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146013623 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
6 EAGLE CTR STE 1 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373845 | Nicole Ann Strubinger | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-10-10 |
| 1366059859 | Becky Furry | Behavioral Analyst | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-28 |
| 1871100768 | Queen Marisha Liburd | Behavioral Analyst | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-25 |
| 1932715232 | Shaionica Dashell Brown | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-22 |
| 1275148470 | Gwendolyn Musick | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-14 |
| 1598370843 | Danielle Ditterline | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-14 |
| 1710592092 | Tremiya Renae Winbush | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-13 |
| 1164037917 | Celia Roark | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-09 |
| 1770197667 | Amanda Jondro | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-08 |
| 1891307898 | Kasandra Lou Buckingham | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1083215768 | Tracie Lee Beckmann | Speech-Language Pathologist | 731 Falcon Hill Trl, O Fallon, MO 63368-8194 | 2020-11-08 |
| 1134603954 | Kelsey Erin Heisserer | Speech-Language Pathologist | 8970 Mexico Rd, O Fallon, MO 63366-7505 | 2018-09-18 |
| 1558859025 | Kelsey Stradtner | Speech-Language Pathologist | 828 Park Entrance Pl Apt 1, O Fallon, IL 62269-2761 | 2018-04-30 |
| 1760991913 | Caitlyn Schroeder | Speech-Language Pathologist | 522 Savannah Garden Dr, O Fallon, MO 63366-3223 | 2017-09-20 |
| 1063930774 | Kayla Dalene Waterman | Speech-Language Pathologist | 1010 Moye School Rd, O Fallon, IL 62269-6841 | 2017-09-01 |
| 1487171955 | Kathleen Mary Wolf | Speech-Language Pathologist | 505 S Cherry St, O Fallon, IL 62269-2043 | 2017-08-25 |
| 1023534310 | Amy Grosch | Speech-Language Pathologist | 610 Prince Ruppert Dr, O Fallon, MO 63366-1802 | 2017-08-17 |
| 1669997193 | Shane Kapler | Speech-Language Pathologist | 250 Fallon Pkwy, O Fallon, MO 63368-7325 | 2017-08-05 |
| 1316494180 | Kristin Elizabeth Knoop | Speech-Language Pathologist | 150 Waterford Crossing Dr, O Fallon, MO 63368-7135 | 2016-09-08 |
| 1881148971 | Rebecca Rosenthal | Speech-Language Pathologist | 269 Shady Rock Ln, O Fallon, MO 63368-7471 | 2016-08-07 |
| Find all providers in O FALLON | ||||
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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.