ADVANCED DYSPHAGIA DIAGNOSTICS LLC (NPI# 1194181206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194181206 |
| Entity Type | Organization |
| Organization Name | ADVANCED DYSPHAGIA DIAGNOSTICS LLC |
| Practice Address |
611 E Star Ct Montrose CO 81401-6704 |
| Mailing Address |
2233 E Main St Business Options Medical Billing Montrose CO 81401-3831 |
| Practice Telephone | 9092135967 |
| Practice Fax Number | 5093564607 |
| Mailing Telephone | 9707650818 |
| Mailing Fax Number | 9704978410 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | KIMBERLY A GEMMELL (OWNER) |
| Authorized Official Telephone | 9092135967 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP.0000229 | CO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD WORKERS MEDICARE GROUP PTAN | DW7861 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902361 | Advanced Dysphagia Diagnostics LLC | Speech-Language Pathologist | 1465 S Ute Dr, Salt Lake City, UT 84108-2433 | 2019-10-02 |
| 1891339156 | Advanced Dysphagia Diagnostics LLC | Speech-Language Pathologist | 206 Main St, Shippenville, PA 16254-3906 | 2019-10-30 |
| Street Address |
611 E STAR CT |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602064 | Kerry G Wilson | Physical Therapist | 611 E Star Ct, Montrose, CO 81401-6704 | 2005-10-12 |
| 1831737782 | Cory Meaker | Physical Therapy Assistant | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-12-11 |
| 1316584600 | Mary Genser | Physical Therapy Assistant | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-12-05 |
| 1134766439 | Emma Head | Occupational Therapist | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-12-05 |
| 1366092272 | Tesse Lane Maciejko | Physical Therapist | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-09-13 |
| 1396207759 | Christina M Masimer | Speech-Language Pathologist | 611 E Star Ct, Montrose, CO 81401-6704 | 2019-04-04 |
| 1578838595 | Ryan Christopher Williams | Physical Therapist | 611 E Star Ct, Montrose, CO 81401-6704 | 2012-03-09 |
| 1639465479 | Cynthia Japhet Millward | Surgery | 611 E Star Ct, Suite A, Montrose, CO 81401-6704 | 2011-06-20 |
| 1316174949 | Robert Lee Hunt | Physical Therapist | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2009-06-22 |
| 1164669826 | Amy Louise Hanley | Occupational Therapist | 611 E Star Ct, Montrose, CO 81401-6704 | 2009-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| 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 |
|---|---|---|---|---|
| 1700499282 | Neuro-based Speech Solutions, LLC. | Speech-Language Pathologist | 936 S 1st St Unit 3, Montrose, CO 81401-3919 | 2020-08-25 |
| 1205347044 | Heidi L Knauss | Speech-Language Pathologist | 236 S 3rd St Ste 332, Montrose, CO 81401-3618 | 2017-10-19 |
| 1285167833 | Julia Marie Garcia | Speech-Language Pathologist | 134 Sunset Rd, Montrose, NY 10548-1320 | 2017-04-10 |
| 1447631643 | Speech Cares LLC | Speech-Language Pathologist | 62230 Charolais Dr, Montrose, CO 81403-9626 | 2015-06-12 |
| 1750784690 | Susan Burke | Speech-Language Pathologist | 61 Trolley Road, Hendrick Hudson School District, Montrose, NY 10548 | 2014-10-07 |
| 1912300146 | Sandra Higgitt | Speech-Language Pathologist | 61 Trolley Rd, Montrose, NY 10548-1121 | 2014-10-02 |
| 1891121711 | Danielle Evans | Speech-Language Pathologist | 7 Kings Ln, Montrose, NY 10548-1307 | 2013-09-24 |
| 1265738264 | Heather K Bledsoe | Speech-Language Pathologist | 101 N Uncompahgre Ave, Montrose, CO 81401-3767 | 2011-02-08 |
| 1164726196 | Beth Parrish | Speech-Language Pathologist | 11292 Sr 29, Montrose, PA 18801 | 2011-01-05 |
| 1467765057 | Maggie Ross Hales | Speech-Language Pathologist | 4 Travis Ln, Montrose, NY 10548-1014 | 2010-07-23 |
| Find all providers in MONTROSE | ||||
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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.