HOLLY JUDE (NPI# 1154937019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154937019 |
| Entity Type | Individual |
| Full Name | HOLLY JUDE |
| Practice Address |
1000 Maplewood Dr Bridgeport WV 26330-9115 |
| Practice Telephone | 3048480200 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1935 | WV | Speech, Language and Hearing Service Providers |
| Street Address |
1000 MAPLEWOOD DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| 1740826064 | Samuel Eli Brookover | Occupational Therapist | 1000 Maplewood Dr, Bridgeport, WV 26330-9115 | 2019-11-21 |
| 1285297572 | Heidi A Ude | Occupational Therapist | 1000 Maplewood Dr, Bridgeport, WV 26330-9115 | 2019-04-22 |
| 1326510645 | Brandon D. Kerr | Speech-Language Pathologist | 1000 Maplewood Dr, Bridgeport, WV 26330-9115 | 2018-12-27 |
| 1063829828 | Danielle Cooper | Occupational Therapist | 1000 Maplewood Dr, Bridgeport, WV 26330-9115 | 2014-07-14 |
| 1003231333 | Chelsea Heaster | Speech-Language Pathologist | 1000 Maplewood Dr, Bridgeport, WV 26330-9115 | 2014-02-24 |
| 1316374614 | Mary Kate Gildea | Physical Therapist | 1000 Maplewood Dr, Bridgeport, WV 26330-9115 | 2013-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1033470786 | David Daryl Vaught | Skilled Nursing Facility | Rr 5 Box 108-c, Bridgeport, WV 26330 | 2012-05-30 |
| Find all providers in zip 26330 | ||||
| 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 |
|---|---|---|---|---|
| 1003260126 | Lisa Lussetto | Speech-Language Pathologist | 800 Q St, Bridgeport, NE 69336-2519 | 2016-04-14 |
| 1265677736 | Cosme Torres Bilingual Speech Services, LLC | Speech-Language Pathologist | 49 Cannon St Ste 208, Bridgeport, CT 06604-4251 | 2008-12-11 |
| 1174727283 | Stacy Elizabeth Bastin | Speech-Language Pathologist | 765 Brightridge Dr, Bridgeport, WV 26330-1172 | 2007-06-13 |
| 1033312574 | Lakeside Therapy Group | Speech-Language Pathologist | 765 Brightridge Drive, Bridgeport, WV 26330 | 2007-06-11 |
| 1356544191 | United Cerebral Palsy of Southern Connecticut Inc. | Speech-Language Pathologist | 2326 E Main St, Bridgeport, CT 06610-1801 | 2007-06-08 |
| 1114140928 | Francesca Mullen | Speech-Language Pathologist | Route 4 Box 17, Bridgeport, WV 26330 | 2007-04-10 |
| 1487741930 | Amanda Beth Longwell | Speech-Language Pathologist | 230 Grande Mdws, Bridgeport, WV 26330-9711 | 2006-10-06 |
| 1043310758 | Rebecca Leeanne Brammer | Speech-Language Pathologist | 12 Coolview Ln, Bridgeport, WV 26330-1009 | 2006-09-23 |
| 1306443296 | Zachary Edward Cipriano | Speech-Language Pathologist | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-10-05 |
| 1649882663 | Taylor M Swartzmiller | Speech-Language Pathologist | 141 State St, Bridgeport, WV 26330-1375 | 2020-08-20 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on HOLLY JUDE.
| 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.