TIDAL BORE RESOURCE CENTER (NPI# 1275152456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275152456 |
| Entity Type | Organization |
| Organization Name | TIDAL BORE RESOURCE CENTER |
| Practice Address |
14251 Jarvi Dr Anchorage AK 99515-3945 |
| Mailing Address |
2440 E Tudor Rd Ste 240 Anchorage AK 99507-1185 |
| Practice Telephone | 9077828369 |
| Mailing Telephone | 9077828369 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | ALICIA WATSON (FOUNDING BOARD MEMBER) |
| Authorized Official Telephone | 9077828369 |
| 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 |
| Street Address |
14251 JARVI DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| 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 |
|---|---|---|---|---|
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1760001622 | Kathleen Carol Zelina | Speech-Language Pathologist | 525 Cherry St, Anchorage, AK 99504-2125 | 2020-04-10 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1619487972 | Meredith Mesquita | Speech-Language Pathologist | 201 E 54th Ave, Anchorage, AK 99518-1202 | 2017-10-02 |
| 1396271011 | Ak Direct Speech Therapy LLC | Speech-Language Pathologist | 3401 E 42nd Ave, Suite 201, Anchorage, AK 99508-5458 | 2017-05-02 |
| 1871034090 | Kimberly Stahlnecker | Speech-Language Pathologist | 3401 E 42nd Ave Ste 201, Anchorage, AK 99508-5458 | 2017-03-20 |
| 1285177907 | Bluegrass Speech Pathology Services | Speech-Language Pathologist | 9651 Buddy Werner Dr, Anchorage, AK 99507-5915 | 2016-11-29 |
| 1780032789 | Cierra Nicole Love Holt | Speech-Language Pathologist | 6810 Gold Kings Cir Unit C, Anchorage, AK 99504-1196 | 2016-05-31 |
| 1780030593 | Lindsey Pearson | Speech-Language Pathologist | 12580 Old Seward Hwy, Anchorage, AK 99515-3506 | 2016-05-11 |
| 1053786582 | Kelly Brewer | Speech-Language Pathologist | 3211 Starboard Ln, Anchorage, AK 99516-3518 | 2015-12-09 |
| Find all providers in ANCHORAGE | ||||
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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.