JAVIERA P. HENRIQUEZ


Address: 4554 W 48th St, Fremont, MI 49412-8721
Phone: 2319243990

JAVIERA P. HENRIQUEZ (NPI# 1366076549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366076549
Entity Type Individual
Full Name JAVIERA P. HENRIQUEZ
Other Name JAVIERA P. HENRIQUEZ VARGAS
Practice Address 4554 W 48th St
Fremont
MI 49412-8721
Mailing Address 12780 Ritchie Ave Ne
Cedar Springs
MI 49319-8441
Practice Telephone 2319243990
Mailing Telephone 5412171452
Enumeration Date 2020-02-26
Last Update Date 2020-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Office Location

Street Address 4554 W 48TH ST
City FREMONT
State MI
Zip Code 49412-8721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942248836 Fremont Healthcare LLC Skilled Nursing Facility 4554 W 48th St, Fremont, MI 49412-8721 2006-06-03
1821412214 Kourtney Snyder Occupational Therapy Assistant 4554 W 48th St, Fremont, MI 49412-8721 2014-02-06
1184050189 Heath C.r. Moore Physical Therapy Assistant 4554 W 48th St, Fremont, MI 49412-8721 2013-09-23
1487080842 Mary Grace Lagare Physical Therapist 4554 W 48th St, Fremont, MI 49412-8721 2013-09-17
1881939221 April N Vanbeek Occupational Therapy Assistant 4554 W 48th St, Fremont, MI 49412-8721 2012-12-11
1184995169 Vicky Lynn Eikenberry Occupational Therapist 4554 W 48th St, Fremont, MI 49412-8721 2012-01-23
1821369992 Amie Spangler Speech-Language Pathologist 4554 W 48th St, Fremont, MI 49412-8721 2012-01-22
1548531601 Michele Lee Dart Physical Therapy Assistant 4554 W 48th St, Fremont, MI 49412-8721 2012-01-21
1306117445 Laura Lee Thompson Occupational Therapy Assistant 4554 W 48th St, Fremont, MI 49412-8721 2012-01-20
1902177033 Tianna Lynn Burns Occupational Therapy Assistant 4554 W 48th St, Fremont, MI 49412-8721 2012-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437632437 Claire Marie J Derks Massage Therapist 119 North Stone Road, Fremont, MI 49412 2018-09-14
1730565946 Retirement Living Management of Fremont, L.L.C. Assisted Living Facility 801 E. Main Street, Fremont, MI 49412 2015-08-11
1497136410 James Yon Social Worker 3682 S Maple Island Rd, Fremont, MI 49412 2015-06-16
1871864090 Cheryl Lee Kublin Specialist 4554 W. 48th St, Fremont, MI 49412 2012-01-19
1326319583 Colleen M Rice Occupational Therapist 4554 W. 48th Street, Fremont, MI 49412 2012-01-19
1154578847 Greenlund Enterprises, Inc Hearing Aid Equipment 28 Wet Sheridan Street, Fremont, MI 49412 2008-08-25
1225170699 Raymond Prins IIi Dentist 855 N Darling, Fremont, MI 49412 2007-02-13
1508933789 Charles Merle Erickson Dentist 16 W Sheridan, Fremont, MI 49412 2006-11-30
1588741300 Christopher Callis Niquette Dentist 327 Apache Dr, Fremont, MI 49412 2006-11-01
1417041179 Newaygo County Resa Local Education Agency (LEA) 4747 W. 48th Street, Fremont, MI 49412 2006-10-03
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467066928 Sarah Dawn Cooper Speech-Language Pathologist 1515 N Johnson Rd, Fremont, NE 68025-6403 2020-09-02
1255969176 Patricia Anne Astila Tanael Speech-Language Pathologist 38627 Cherry Ln Apt 81, Fremont, CA 94536-4270 2020-03-27
1619503828 Madison Cano Fox Speech-Language Pathologist 39090 Presidio Way, Fremont, CA 94538-1276 2020-03-19
1740812411 Lei Xu Speech-Language Pathologist 5495 Fiesta Rd, Fremont, CA 94538-3215 2020-02-10
1609428200 Eileen Ko Speech-Language Pathologist 46940 Aloe Ct, Fremont, CA 94539-7201 2019-07-13
1306336185 Caitlin Giammona Speech-Language Pathologist 3700 Beacon Ave Apt 171, Fremont, CA 94538-3055 2018-05-16
1942798921 Rajashri Anand Iyengar Speech-Language Pathologist 445 Calistoga Cir, Fremont, CA 94536-7622 2018-04-25
1982142857 Paula Y. Walla Speech-Language Pathologist 130 E. 9th St., Fremont, NE 68025 2017-02-10
1902256373 Jacqueline Smith Speech-Language Pathologist 1110 Chestnut St, Fremont, OH 43420-4312 2016-06-16
1831554864 Joanna Gildersleeve-maffitt Speech-Language Pathologist 130 E 9th St # Ne68025, Fremont, NE 68025-4101 2015-12-17
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Competitor

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City FREMONT
Zip Code 49412

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Dataset Information

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.

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