MR. JILL SUZANNE SUPPES (NPI# 1326218405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326218405 |
| Entity Type | Individual |
| Full Name | MR. JILL SUZANNE SUPPES |
| Credential | MS-CCC/SLP |
| Practice Address |
3502 University Dr S Fargo ND 58104-6228 |
| Mailing Address |
3001 11th St S Fargo ND 58103-6048 |
| Practice Telephone | 7014463934 |
| Mailing Telephone | 7013560062 |
| Mailing Fax Number | 7013565412 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 659 | ND | Speech, Language and Hearing Service Providers |
| Street Address |
3502 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-6228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770834707 | Nancy Johnson-seidel | Speech-Language Pathologist | 3502 University Dr S, Fargo, ND 58104-6228 | 2012-10-01 |
| 1831334416 | Barbara E. Swegarden | Speech-Language Pathologist | 3502 University Dr S, Eagles Education Center, Fargo, ND 58104-6228 | 2008-12-10 |
| 1851545842 | Jayla Renae Eagleson | Speech-Language Pathologist | 3502 University Dr S, Fargo, ND 58104-6228 | 2008-11-04 |
| 1922278845 | Rebecca Jo Walters | Speech-Language Pathologist | 3502 University Dr S, Fargo, ND 58104-6228 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
|---|---|---|---|---|
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| 1790145043 | Deanna Pinnow | Speech-Language Pathologist | 37 N Terrace N, Fargo, ND 58102-3815 | 2016-02-29 |
| 1154798577 | Aubrey Lynn Bergerson | Speech-Language Pathologist | 3700 54th St S, Fargo, ND 58104-7471 | 2015-09-02 |
| 1982088456 | Carrie Rice | Speech-Language Pathologist | 1220 Main Ave Ste 120, Fargo, ND 58103-8201 | 2015-07-15 |
| 1023416534 | Kids First Therapy, LLC | Speech-Language Pathologist | 1102 7th St S, Fargo, ND 58103-2712 | 2014-12-15 |
| 1083018790 | Sarah Jo Ring | Speech-Language Pathologist | 3002 25th Ave S, Fargo, ND 58103-5021 | 2014-10-09 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1306287610 | Mckenzie Lee | Speech-Language Pathologist | 1717 S University, Feeding Disorders 3rd Floor, Fargo, ND 58103 | 2013-07-15 |
| 1083051072 | Amanda Christine Walker | Speech-Language Pathologist | 3509 Interstate Blvd S, Suite B, Fargo, ND 58103-2200 | 2013-05-30 |
| 1801133806 | Whitney N Christie | Speech-Language Pathologist | 5550 44th Ave S, Fargo, ND 58104-4349 | 2013-01-10 |
| Find all providers in FARGO | ||||
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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.