MRS. ELISABETH ANNE BALCOM (NPI# 1124485495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124485495 |
| Entity Type | Individual |
| Full Name | MRS. ELISABETH ANNE BALCOM |
| Other Name | BETSY JORGENSEN |
| Credential | M.A.,CCC/SLP |
| Practice Address |
12778 Road 37 1/2 Madera CA 93636-8757 |
| Mailing Address |
4560 Se International Way Ste 100 Milwaukie OR 97222-4628 |
| Practice Telephone | 5594308239 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP16633 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
12778 ROAD 37 1/2 |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1740838994 | Francisco Alvarez | Nurse Practitioner | 9300 Valley Childrens Pl, Madera, CA 93636 | 2019-08-30 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| Find all providers in zip 93636 | ||||
| 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 |
|---|---|---|---|---|
| 1093371437 | Simone Etchegaray Corso | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2019-05-10 |
| 1497210876 | Nicole Frances Duncan | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2019-02-09 |
| 1437632353 | Mary Ann Colliver | Speech-Language Pathologist | 517 S A St, Madera, CA 93638-3806 | 2018-09-07 |
| 1982192407 | Wendy Cockrum | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2018-04-30 |
| 1447754841 | Denise Michelle Schiavone | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2018-03-20 |
| 1760995922 | Amy Letourneau | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2017-11-09 |
| 1942665070 | Linda Leach | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2015-12-16 |
| 1043684152 | Carol Giovacchini | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2015-12-01 |
| 1750753919 | Bethany Sailors | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2015-10-28 |
| 1861862807 | Lori Willow | Speech-Language Pathologist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2015-10-02 |
| Find all providers in MADERA | ||||
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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.