KAITLYN FLEMING (NPI# 1356909758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356909758 |
| Entity Type | Individual |
| Full Name | KAITLYN FLEMING |
| Practice Address |
2505 E Jefferson Blvd South Bend IN 46615-2635 |
| Mailing Address |
1116 Woodlawn Blvd South Bend IN 46616-1950 |
| Practice Telephone | 5742894831 |
| Mailing Telephone | 5742295645 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 46003382A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA PROFESSIONAL LICENSING AGENCY | 46003382A | 01 |
| Street Address |
2505 E JEFFERSON BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124249867 | Kristin Shide | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-05-01 |
| 1437756277 | Angela Snyder | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-10-05 |
| 1376155424 | Kodie Heading | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-20 |
| 1922618032 | Susanne Borders | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-04 |
| 1396378774 | Cailin Grace Kennedy | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-02-13 |
| 1770125692 | Kristina Borkholder | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-10-11 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| 1013563568 | Ellen Jean Eaton | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-08-12 |
| 1538627328 | Alissa Freyer | Behavior Technician | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-03-11 |
| 1194289694 | Chrystal Marie Phan | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| 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 |
|---|---|---|---|---|
| 1144831009 | Jessica Brickman | Speech-Language Pathologist | 736 Portage Ave Apt 4, South Bend, IN 46616-1371 | 2020-08-13 |
| 1578018859 | Heather Hetler | Speech-Language Pathologist | 210 S Hawthorne Dr, South Bend, IN 46617-3441 | 2016-08-17 |
| 1326488198 | Ashley D Bragg | Speech-Language Pathologist | 2610 Eisenhower Ave, South Bend, IN 46615-3421 | 2013-06-26 |
| 1487932539 | Patricia E Horvath | Speech-Language Pathologist | 59960 Red Fox Ct, South Bend, IN 46614-4033 | 2011-07-22 |
| 1447567599 | Marcie B Kloosterman | Speech-Language Pathologist | 23375 Amber Valley Dr, South Bend, IN 46628-8139 | 2010-09-10 |
| 1174618961 | Carol V Graham | Speech-Language Pathologist | 1222 E Wayne St S, South Bend, IN 46615-1049 | 2006-10-04 |
| 1932293271 | Elizabeth A Early | Speech-Language Pathologist | 2012 Ironwood Cir, South Bend, IN 46635-1888 | 2006-10-03 |
| 1467068403 | Alexandra Rae Lertola | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1598371478 | Erica Doyle | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
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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.