MR. KARL KEITH MITCHENER (NPI# 1306094560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306094560 |
| Entity Type | Individual |
| Full Name | MR. KARL KEITH MITCHENER |
| Credential | SLP |
| Practice Address |
1901 N 13th Street Herrin IL 62948 |
| Mailing Address |
1901 N. 13th Street Herrin IL 62948 |
| Practice Telephone | 6189423274 |
| Practice Fax Number | 6189428240 |
| Mailing Telephone | 6189423274 |
| Mailing Fax Number | 6189428240 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146001263 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
1901 N 13TH STREET |
| City | HERRIN |
| State | IL |
| Zip Code | 62948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326296328 | Rachael Nicole Janello | Physical Therapy Assistant | 1901 N 13th Street, Herrin, IL 62948 | 2008-09-03 |
| 1508014507 | Dawn Amber Dueker | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| 1134349798 | Nelson F Gauto Md PC | Clinic/Center | 3314 Patriot Court, Herrin, IL 62948 | 2007-04-26 |
| Find all providers in zip 62948 | ||||
| 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 |
|---|---|---|---|---|
| 1215442553 | Kayla Renae Szczeblewski | Speech-Language Pathologist | 5200 Herrin Rd, Herrin, IL 62948-6346 | 2017-12-08 |
| 1831618479 | Allison Marie Tanner | Speech-Language Pathologist | 601 N 17th St, Herrin, IL 62948-1201 | 2017-09-14 |
| 1730542507 | Sadie Allison Hunsaker | Speech-Language Pathologist | 405 Lymar Ln, Herrin, IL 62948-6139 | 2016-03-30 |
| 1629455894 | Emily A Howell | Speech-Language Pathologist | 505 N 20th St, Herrin, IL 62948-1438 | 2015-04-27 |
| 1154737146 | Jayma Lynn Stroud | Speech-Language Pathologist | 813 S 14th St, Herrin, IL 62948-4101 | 2014-07-10 |
| 1356691943 | Ann Margaret Spiller | Speech-Language Pathologist | 417 N 9th St, Herrin, IL 62948-3320 | 2012-09-11 |
| 1699020552 | Southern Rehab Specialists, LLC | Speech-Language Pathologist | 3216 Mustang Ct, Herrin, IL 62948-3783 | 2012-07-17 |
| 1154508208 | Lenise Sgutt | Speech-Language Pathologist | 601 Vickie Ln, Herrin, IL 62948-4024 | 2008-01-30 |
| 1720111057 | Kristina Renee Hale | Speech-Language Pathologist | 2601 N 13th St, Herrin, IL 62948-3026 | 2007-03-14 |
| 1407965460 | Valerie E. Boyer | Speech-Language Pathologist | 3032 Willow Branch Ln, Herrin, IL 62948-3706 | 2006-08-30 |
| Find all providers in HERRIN | ||||
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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.