MARY KAITLYN BOLEY (NPI# 1164072872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164072872 |
| Entity Type | Individual |
| Full Name | MARY KAITLYN BOLEY |
| Other Name | MARY KAITLYN GERBER |
| Credential | M.S. CCC-SLP |
| Practice Address |
2121 Sweet Gum Dr Anna TX 75409-0117 |
| Practice Telephone | 2148373608 |
| Mailing Telephone | 2148373608 |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 110916 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
2121 SWEET GUM DR |
| City | ANNA |
| State | TX |
| Zip Code | 75409-0117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604675 | Surgery Center of North Texas, Pllc | Clinic/Center | 330 Standridge Blvd, Anna, TX 75409 | 2019-11-25 |
| 1093375412 | Augustine Onuoha | Registered Nurse | 1313 Bridgeport Dr, Anna, TX 75409 | 2019-06-18 |
| 1699277400 | Knight Family Chiropractic of Anna, LLC | Chiropractor | 1108 W. White St., Suite 100, Anna, TX 75409 | 2018-03-07 |
| 1023542883 | Reinert Family Eye Care, Pllc | Optometrist | 521 S Central Expy, Anna, TX 75409 | 2017-04-18 |
| 1902339096 | Risikat Idowu Lawal | Nurse Practitioner | 1130 Annie Oakley Dr, Anna, TX 75409 | 2017-04-06 |
| 1144760851 | Branches Dental, Pllc | Dentist | 2100 West White St, Suite 100, Anna, TX 75409 | 2017-02-28 |
| 1134667645 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 521 S. Central Express Way, Anna, TX 75409 | 2017-02-03 |
| 1972900884 | Ambience Community Services, LLC | Community/Behavioral Health | 709 Bamboo Dr, Anna, TX 75409 | 2014-11-21 |
| 1952728073 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2740 W White St, Anna, TX 75409 | 2014-03-26 |
| 1013252139 | Anna Dental | Dentist | 2101 W. White St., Suite 100, Anna, TX 75409 | 2012-11-29 |
| Find all providers in zip 75409 | ||||
| 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 |
|---|---|---|---|---|
| 1770009136 | Mackenzie Brooke Housman | Speech-Language Pathologist | 175 Tollgate Rd, Anna, IL 62906-5400 | 2017-08-17 |
| 1790146025 | Melissa Taylor | Speech-Language Pathologist | 213 Birdbrook Dr, Anna, TX 75409-5191 | 2016-03-15 |
| 1467853150 | Jenny Vincent | Speech-Language Pathologist | 225 Maid Marian Ln, Anna, IL 62906-3132 | 2014-09-12 |
| 1285940049 | Cassie N Edmonds | Speech-Language Pathologist | 307 E Vienna St, Anna, IL 62906-2011 | 2010-08-30 |
| 1285861021 | Carrie Johnson | Speech-Language Pathologist | 500 Dogwood Dr, Anna, TX 75409-5095 | 2009-06-19 |
| 1174678767 | Laura S Bussey | Speech-Language Pathologist | 104 W Jefferson St, Anna, IL 62906-1208 | 2007-01-24 |
| 1821617275 | Jolie Beth Pieronek | Speech-Language Pathologist | 3325 Pate Way, Anna, TX 75409-8459 | 2020-04-15 |
| 1316582703 | Kaleigh Ella Deneal | Speech-Language Pathologist | 792 N Main St, Anna, IL 62906-1627 | 2019-11-09 |
| 1780069443 | Lonzie Tripple | Speech-Language Pathologist | 792 N Main St, Anna, IL 62906-1627 | 2015-07-23 |
| 1053798074 | Carol Kenny | Speech-Language Pathologist | 792 N Main St, Anna, IL 62906-1627 | 2015-04-28 |
| Find all providers in ANNA | ||||
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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.