MS. TERESSA M KOFFLER (NPI# 1316060957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316060957 |
| Entity Type | Individual |
| Full Name | MS. TERESSA M KOFFLER |
| Credential | SLP |
| Practice Address |
500 Ownby St Lordsburg NM 88045-2233 |
| Practice Telephone | 5055429364 |
| Mailing Telephone | 5055429364 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1958 | NM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000Q9604 | 05 |
| Street Address |
500 OWNBY ST |
| City | LORDSBURG |
| State | NM |
| Zip Code | 88045-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164768594 | Mary Kathleen Watson | Psychologist | 500 Ownby St, Lordsburg, NM 88045-2233 | 2012-12-12 |
| 1497878003 | Sara C Johnson | Speech-Language Pathologist | 500 Ownby St, Lordsburg, NM 88045 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224969 | Patrick Kelly Saucedo | Case Manager/Care Coordinator | 332 E. Motel Dr., Lordsburg, NM 88045 | 2013-10-28 |
| 1952749459 | Edgar Eduardo Gomez | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2013-06-06 |
| 1265601652 | Kristene C. Sheryl | Counselor | 332 E. Motel Drive, Lordsburg, NM 88045 | 2008-02-29 |
| 1811396823 | Efstathia Yerende | Counselor | 530 De Moss St, Lordsburg, NM 88045 | 2014-08-14 |
| 1073931457 | Kerena Barron | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2014-04-02 |
| 1972711687 | Steven Cecil Jones | Pharmacist | 530 Demoss St, Lordsburg, NM 88045 | 2007-05-18 |
| 1669429189 | Abeyta Physical Therapy & Sports Medicine Inc | Physical Therapist | 114 E Motel Dr, Lordsburg, NM 88045 | 2006-05-29 |
| 1508864133 | Frank Peacock | Dentist | 530 Demoss Street, Lordsburg, NM 88045 | 2005-07-08 |
| 1235143819 | James Bartlem Holder IIi | Internal Medicine | 167 North Main Street, Tuba City, AZ 88045-0600 | 2006-07-28 |
| 1689881245 | Hidalgo Medical Services | Clinic/Center | 501 W 4th St, Lordsburg, NM 88045-1643 | 2007-05-16 |
| Find all providers in zip 88045 | ||||
| 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 |
|---|---|---|---|---|
| 1497878003 | Sara C Johnson | Speech-Language Pathologist | 500 Ownby St, Lordsburg, NM 88045 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009829 | Katlyn Ann Ferguson | Speech-Language Pathologist | 4316 Sabana Loop Se Apt D, Rio Rancho, NM 87124-1422 | 2020-10-05 |
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1164035705 | Deanna Mari Cordova | Speech-Language Pathologist | 1517 S Main Ave, Portales, NM 88130-6928 | 2020-08-24 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1508476508 | Betty Joanne Hauser | Speech-Language Pathologist | 3401 E 30th St Ste A, Farmington, NM 87402-8805 | 2020-08-04 |
| 1477176758 | New Mexico Speech and Swallowing Services, LLC | Speech-Language Pathologist | 400 E College Blvd Ste E, Roswell, NM 88201-7570 | 2020-05-21 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1124653191 | Megan Mcnutt | Speech-Language Pathologist | 18 Copper Ridge Dr, Silver City, NM 88061-8629 | 2020-03-10 |
| 1104450139 | Jennifer Edwards | Speech-Language Pathologist | 700 W Stevens St, Carlsbad, NM 88220-4958 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
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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.