ALECIA MITAN (NPI# 1124595459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124595459 |
| Entity Type | Individual |
| Full Name | ALECIA MITAN |
| Other Name | ALLIE MITAN |
| Practice Address |
1105 Fairgrounds Rd Jefferson City MO 65109-6452 |
| Practice Telephone | 5736593175 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2018024306 | MO | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1105 Fairgrounds Rd, Jefferson City, MO 651096452 | 5736593175 |
| Street Address |
1105 FAIRGROUNDS RD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1891166195 | Jessica Peters | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109-5443 | 2015-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| 1467647222 | Mae Mildred Benson | Massage Therapist | 2705 D Industrial Drive, Jefferson City, MO 65109 | 2007-09-13 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1376140509 | Casey Claypool | Speech-Language Pathologist | 100 Dix Rd, Jefferson City, MO 65109-0962 | 2020-10-01 |
| 1083211213 | Brookelyn Schwartz | Speech-Language Pathologist | 325 Lewis and Clark Dr, Jefferson City, MO 65101-5586 | 2020-10-01 |
| 1679077309 | Denae Marie Sullivan | Speech-Language Pathologist | 707 Linden Dr, Jefferson City, MO 65109-2742 | 2018-03-19 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1295135952 | Rachel Lynn Marie Todd | Speech-Language Pathologist | 301 Pioneer Trail Dr, Jefferson City, MO 65109-1508 | 2014-09-01 |
| 1821497157 | Haley Gilbert | Speech-Language Pathologist | 1229 E Mccarty St, Jefferson City, MO 65101-4855 | 2014-08-22 |
| 1710323266 | Kimberly Nicole Fogg | Speech-Language Pathologist | 1224 Provost Dr, Jefferson City, TN 37760-3833 | 2013-05-10 |
| 1922245521 | Jane Elizabeth Barnes | Speech-Language Pathologist | 120 E Circle Dr, Jefferson City, MO 65109-1225 | 2009-01-19 |
| 1255454856 | Danielle Schwartz | Speech-Language Pathologist | 1908 Whitney Woods Dr, Jefferson City, MO 65101-2386 | 2007-04-09 |
| 1205970944 | Julie T Hall | Speech-Language Pathologist | 108 Forest Hill Ave, Jefferson City, MO 65109-0911 | 2007-02-16 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on ALECIA MITAN.
| 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.