MRS. MIRANDA MAUREEN CLEMENTS (NPI# 1154845519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154845519 |
Entity Type | Individual |
Full Name | MRS. MIRANDA MAUREEN CLEMENTS |
Credential | M.S., CCC-SLP |
Practice Address |
725 Welch Rd Palo Alto CA 94304 |
Mailing Address |
3203 W Lone Cactus Dr Phoenix AZ 85027-2244 |
Mailing Telephone | 9286400730 |
Enumeration Date | 2017-07-27 |
Last Update Date | 2019-10-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 28397 | CA | Speech, Language and Hearing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
725 Welch Rd, Palo Alto, CA 94304 |
Street Address |
725 WELCH RD |
City | PALO ALTO |
State | CA |
Zip Code | 94304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487658332 | Allen E Eskenazi | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2005-06-09 |
1689275059 | Colin Elie | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-11-03 |
1205434545 | Heather Casale | Dietitian, Registered | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-10-09 |
1427655851 | Rachel Chapman | Clinical Nurse Specialist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-10-08 |
1083220800 | Morgan Kailey Kosar | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-17 |
1164037644 | Matthew Ang Ly | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-11 |
1790398105 | Molly Mcguinness | Genetic Counselor, MS | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-08-25 |
1811509292 | Stephanie Quinn Hutsell | Pharmacist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-08-18 |
1487270120 | Koyelle Papneja | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-18 |
1881219715 | Judith M Flood | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
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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 |
---|---|---|---|---|
1699396259 | Nestor Gabriel Fragoso | Speech-Language Pathologist | Audiology/speech Pathology Service (126), 3801 Miranda Avenue, Palo Alto, CA 94304-1207 | 2020-05-05 |
1558980151 | Sapir Kedem | Speech-Language Pathologist | 1072 Tanland Dr Apt 207, Palo Alto, CA 94303-3742 | 2020-04-13 |
1851882047 | Stephanie Cowley | Speech-Language Pathologist | 3801 Miranda Ave # Ms 112, Palo Alto, CA 94304-1207 | 2018-05-23 |
1942721774 | Hanna Gelfand | Speech-Language Pathologist | 117 California Ave Ste D201, Palo Alto, CA 94306-1951 | 2017-07-01 |
1144635889 | Jaimie Heiman | Speech-Language Pathologist | 525 E Charleston Rd, Palo Alto, CA 94306-4247 | 2014-06-20 |
1598109043 | Haley M Dayel | Speech-Language Pathologist | 241 Curtner Ave, Apt F, Palo Alto, CA 94306-3468 | 2013-04-26 |
1083958755 | Elizabeth Harmon | Speech-Language Pathologist | 3331 Alma St, Palo Alto, CA 94306-3501 | 2012-11-19 |
1770838476 | Kristen Marie Karakus | Speech-Language Pathologist | 3801 Miranda Ave # Ms 126, Palo Alto, CA 94304-1207 | 2012-07-18 |
1184935686 | Lisa Levine Sporer | Speech-Language Pathologist | 2351 Carmel Dr, Palo Alto, CA 94303-3143 | 2010-06-30 |
1497846786 | Janet Marie Hargadon | Speech-Language Pathologist | 3801 Miranda Ave # 126, Palo Alto, CA 94304-1207 | 2006-09-28 |
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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.