KRISTINE C MATTHIAS (NPI# 1306241005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306241005 |
| Entity Type | Individual |
| Full Name | KRISTINE C MATTHIAS |
| Credential | CCC-SLP |
| Practice Address |
156 S Dossett Drive Johnson City TN 37614-1702 |
| Mailing Address |
Po Box 70643 156 S Dossett Dr Johnson City TN 37614-1702 |
| Practice Telephone | 4234394355 |
| Practice Fax Number | 4234394607 |
| Mailing Telephone | 4234394584 |
| Mailing Fax Number | 4234394607 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5349 | TN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ST LICENSE | 5349 | 01 |
| TN | Q009051 | 05 |
| Street Address |
156 S DOSSETT DRIVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962432609 | Medical Education Assistance Corporation | Audiologist | 156 S Dossett Drive, Johnson City, TN 37614-1702 | 2006-07-04 |
| 1881087823 | Courtney Marie Andrews | Speech-Language Pathologist | 156 S Dossett Drive, Johnson City, TN 37614-1702 | 2015-03-16 |
| 1447506456 | Chayadevie Guntupalli | Speech-Language Pathologist | 156 S Dossett Drive, Box 70643, Johnson City, TN 37614-1702 | 2012-07-27 |
| 1669797924 | Melissa Lou Anderson | Audiologist | 156 S Dossett Drive, Johnson City, TN 37614-1702 | 2010-03-30 |
| 1598812158 | Teresa Lynn Boggs | Speech-Language Pathologist | 156 S Dossett Drive, Johnson City, TN 37614-1702 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| Find all providers in zip 37614 | ||||
| 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 |
|---|---|---|---|---|
| 1073130696 | Krista Swanson | Speech-Language Pathologist | 204 E Mountain View Rd Apt 25, Johnson City, TN 37601-1264 | 2020-06-30 |
| 1164062659 | Medical Education Assistance Corporation | Speech-Language Pathologist | 2423 Susannah St, Johnson City, TN 37601-1749 | 2020-01-13 |
| 1093279218 | Elaine Coleman Murray | Speech-Language Pathologist | 5 Bingham Ct, Johnson City, TN 37604-7120 | 2019-01-23 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1073010716 | Jerrica Smith | Speech-Language Pathologist | 271 Rockingham Meadows Dr, Johnson City, TN 37615-6709 | 2018-04-10 |
| 1427560754 | Annika Zickovich | Speech-Language Pathologist | 2340 Knob Creek Rd Ste 704, Johnson City, TN 37604-2977 | 2017-10-26 |
| 1558811885 | Bowling Green Therapy Services | Speech-Language Pathologist | 123 Quail Run, Johnson City, TN 37601-5366 | 2016-10-11 |
| 1427439579 | Erin Marie Galusha | Speech-Language Pathologist | 581 Overbrook Rd, Johnson City, NY 13790-1306 | 2015-06-15 |
| 1568851046 | Jessica Billings | Speech-Language Pathologist | 525 W Oakland Ave Ste 205, Johnson City, TN 37604-1673 | 2015-01-21 |
| 1962891093 | Rhonda Jean Bolton | Speech-Language Pathologist | 9 Madison Ct, Johnson City, TN 37601-9233 | 2015-01-13 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
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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.