ADVANCED PEDIATRIC SPEECH THERAPY, LLC (NPI# 1225391626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225391626 |
| Entity Type | Organization |
| Organization Name | ADVANCED PEDIATRIC SPEECH THERAPY, LLC |
| Practice Address |
4206 W 24th Ave Ste B104 Kennewick WA 99338-2321 |
| Practice Telephone | 5095213644 |
| Mailing Telephone | 5095213644 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | ELIZABETH MARTINEZ BRAUN (OWNER/ MANAGER) |
| Authorized Official Telephone | 5095213644 |
| 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 | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ADVANCED PEDIATRIC SPEECH THERAPY, LLC | 4206 West 24th Ave, Suite B104, Kennewick, WA 99338 |
| Street Address |
4206 W 24TH AVE STE B104 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99338-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477703270 | Elizabeth Martinez Braun | Speech-Language Pathologist | 4206 W 24th Ave Ste B104, Kennewick, WA 99338-2321 | 2008-09-29 |
| 1679020820 | Adison Stewart | Physical Therapist | 4206 W 24th Ave Ste B104, Kennewick, WA 99338-2321 | 2016-09-06 |
| 1669830899 | Megan Rodrick | Massage Therapist | 4206 W 24th Ave Ste B104, Kennewick, WA 99338-2321 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974170 | Madiha Haque | Internal Medicine | Trios Care Center, 3730 Plaza, 4th Floor, Kennewick, WA 99338 | 2017-07-13 |
| 1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
| 1992058895 | Jennifer Kathleen Webb | Massage Therapist | 4206 W. 24th Ave. Suite A 101, Kennewick, WA 99338 | 2012-10-17 |
| 1881999639 | Tyler Rex Thornock | Nurse Anesthetist, Certified Registered | 15205 S. Mountain Ridge Ct, Kennewick, WA 99338 | 2011-01-25 |
| 1528205812 | Christina Ann Hofstetter | Massage Therapist | 4206 W. 24th Ave, Suite B103, Kennewick, WA 99338 | 2009-01-08 |
| 1619184025 | Jennifer Candice Charron | Family Medicine | 3900 S. Zintel Way, Kennewick, WA 99338 | 2007-05-16 |
| 1821211640 | Brandon P Campbell | Chiropractor | 4303 W. 27th Avenue, Suite E, Kennewick, WA 99338 | 2007-04-10 |
| 1902936206 | Stuart Lee Smithson | Chiropractor | 2411 S. Union St., Suite C, Kennewick, WA 99338 | 2007-03-06 |
| 1467580845 | Theodore J Weber Sr. | Specialist/Technologist | 3520 Southridge Blvd, Kennewick, WA 99338 | 2007-02-28 |
| 1093868572 | Canyonview Family Eye Care LLC | Optometrist | 4309 W 27th Place, Suite 102, Kennewick, WA 99338 | 2007-01-19 |
| Find all providers in zip 99338 | ||||
| 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 |
|---|---|---|---|---|
| 1053953679 | Hector Gustavo Arriaga | Speech-Language Pathologist | 1022 W Bruneau Ave, Kennewick, WA 99336-3554 | 2019-10-15 |
| 1609332907 | Michelle Rivas | Speech-Language Pathologist | 8009 W 5th Ave, Kennewick, WA 99336-9464 | 2019-02-12 |
| 1679931745 | Shealyn Hansen | Speech-Language Pathologist | 4901 W 20th Ave, Kennewick, WA 99338-5009 | 2016-02-04 |
| 1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
| 1326446212 | Samantha Maiden | Speech-Language Pathologist | 708 S Highland Dr, Kennewick, WA 99337-5115 | 2014-12-09 |
| 1356744163 | Chelsea Klinger | Speech-Language Pathologist | 7701 W 4th Ave Apt M207, Kennewick, WA 99336-8551 | 2014-10-07 |
| 1053714519 | Lael Marie Mether | Speech-Language Pathologist | 909 S Buntin St, Kennewick, WA 99336-4826 | 2014-09-29 |
| 1225371180 | Kaytlin Brown | Speech-Language Pathologist | 8507 W 3rd Ave, Kennewick, WA 99336-9421 | 2013-03-28 |
| 1255674370 | Kelly Katherine Pflieger | Speech-Language Pathologist | 1113 S Quay Ct, Kennewick, WA 99338-1312 | 2013-03-27 |
| 1477896587 | Mary Mb Shaw | Speech-Language Pathologist | 9007 W Metaline Ave, Kennewick, WA 99336-1490 | 2013-03-27 |
| Find all providers in KENNEWICK | ||||
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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.