ROBERTA KRUSE (NPI# 1154419158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154419158 |
| Entity Type | Individual |
| Full Name | ROBERTA KRUSE |
| Credential | MSP-CCC-SLP |
| Practice Address |
2315 Central Ave Ste C Augusta GA 30904-6246 |
| Mailing Address |
579 Bay Hl Martinez GA 30907-8993 |
| Practice Telephone | 7063646172 |
| Mailing Telephone | 7068698402 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006465 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
2315 CENTRAL AVE STE C |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982620183 | Therapeutic Interventions of Georgia,inc | Physical Therapist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2006-07-14 |
| 1750912150 | Myd Services, Inc. | Adult Companion | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2020-02-04 |
| 1649750472 | Mary Katherine Standard | Occupational Therapist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2018-08-21 |
| 1831609957 | Rebecca G Brumbeloe | Occupational Therapist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2017-10-03 |
| 1255709051 | Lauren Coleen Finnegan | Occupational Therapist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2015-09-10 |
| 1235465618 | Mallory Lanier | Occupational Therapist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2009-10-20 |
| 1518125350 | Breena Coffield Raley | Occupational Therapist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2008-05-29 |
| 1124299490 | Dysphagia Mobile Imaging, Inc. | Clinic/Center | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2008-03-14 |
| 1801087911 | Kristen Waghorn | Speech-Language Pathologist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2007-08-05 |
| 1063543478 | Jill Painter | Speech-Language Pathologist | 2315 Central Ave Ste C, Augusta, GA 30904-6246 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1053963116 | Jenna Lynch | Speech-Language Pathologist | 11312 Sw Carmon Rd, Augusta, KS 67010-8627 | 2019-07-09 |
| 1013409226 | Haleigh Swierski Mahaffey | Speech-Language Pathologist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2018-06-04 |
| 1639686033 | Lindsey Parks Martin | Speech-Language Pathologist | 1 7th St, Augusta, GA 30901-1328 | 2018-01-08 |
| 1518480318 | Kara Kriete | Speech-Language Pathologist | 1080 Rosland Cir, Augusta, GA 30909-9840 | 2017-07-24 |
| 1740638386 | Kendrall Graham | Speech-Language Pathologist | 752 Aumond Rd, Augusta, GA 30909-3256 | 2016-05-24 |
| 1114269487 | Terri Stutts Stewart | Speech-Language Pathologist | 1206 Sande Hill Pl, Augusta, GA 30909-0310 | 2013-03-25 |
| 1861734642 | Daydra Dee Cain | Speech-Language Pathologist | 1120 15th St # 6045, Augusta, GA 30912-0004 | 2013-03-20 |
| 1053665562 | Sara Thompson | Speech-Language Pathologist | 30 Old Winthrop Rd, Apt 206, Augusta, ME 04330-4946 | 2012-11-06 |
| 1578833646 | Dee Ann Debano-burns | Speech-Language Pathologist | 901 Lakepoint Drive, Augusta, KS 67010-2423 | 2012-01-06 |
| 1508134362 | Shannon M Woods | Speech-Language Pathologist | 2259 Cumming Rd, Augusta, GA 30904-6987 | 2011-12-08 |
| Find all providers in AUGUSTA | ||||
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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.