MRS. AUDRA MARIE WILKS (NPI# 1275651481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275651481 |
| Entity Type | Individual |
| Full Name | MRS. AUDRA MARIE WILKS |
| Credential | M.S., CCC-SLP |
| Practice Address |
1145 Poquonnock Rd Groton CT 06340-4620 |
| Mailing Address |
8 Wampanoag Ave Westerly RI 02891-2033 |
| Practice Telephone | 8604469960 |
| Mailing Telephone | 4015961007 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 002579 | CT | Speech, Language and Hearing Service Providers |
| Street Address |
1145 POQUONNOCK RD |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366499568 | Health Resources of Groton, Inc. | Assisted Living Facility | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2006-05-31 |
| 1306455019 | Mariana Tamayo | Occupational Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2020-07-28 |
| 1841761970 | Emily Louise Amaral | Occupational Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4698 | 2018-12-16 |
| 1376083097 | Jane Sinclair Manaras | Occupational Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2017-02-28 |
| 1053791186 | Stephanie Law | Occupational Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2015-06-03 |
| 1578950473 | Meghan Daniels Cook | Occupational Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2015-04-20 |
| 1295123370 | Carey Ann Faulkner | Physical Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2014-12-25 |
| 1851797229 | Eric Dyson Jr. | Physical Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2014-11-13 |
| 1992124465 | Rebecca Wittkopp | Physical Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2014-04-14 |
| 1346684743 | Rebecca Z Smith | Physical Therapy Assistant | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| 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 |
|---|---|---|---|---|
| 1659752350 | Kaileigh Lear | Speech-Language Pathologist | 135 Ledgewood Rd Apt 302, Groton, CT 06340-6609 | 2015-06-18 |
| 1386058766 | Kelley Bean | Speech-Language Pathologist | 27 Noble Ave Unit 3, Groton, CT 06340-5624 | 2014-06-13 |
| 1912349135 | Cynthia Testa | Speech-Language Pathologist | 42 Duck Pond Rd, Groton, MA 01450-2211 | 2013-07-29 |
| 1841563152 | Audrey Marie Mozley | Speech-Language Pathologist | 99 Blueberry Hill Rd, Groton, CT 06340-4440 | 2012-02-16 |
| 1023321163 | Sandra G Tuthill | Speech-Language Pathologist | 516 Elm St., Groton Elementary School, Groton, NY 13073-1297 | 2010-07-19 |
| 1184935777 | Kristin Noelle Ashburn | Speech-Language Pathologist | 6 Allison Park, Groton, MA 01450-1573 | 2010-06-29 |
| 1508197526 | Evelyn Marie Thompson | Speech-Language Pathologist | 668 Sovocool Hill Rd, Groton, NY 13073-9206 | 2010-01-15 |
| 1053541334 | Dawn Mingione | Speech-Language Pathologist | 145 Pleasant Valley Rd S, Groton, CT 06340-3323 | 2009-07-21 |
| 1639323413 | Stacey Kidder | Speech-Language Pathologist | 110 Sykes St, Groton, NY 13073-1231 | 2008-11-06 |
| 1699960799 | Crystal Marie Waage | Speech-Language Pathologist | 716 N 2nd St, Groton, SD 57445-2166 | 2007-09-11 |
| Find all providers in GROTON | ||||
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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.