JENNIFER KELLAMS (NPI# 1376940627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376940627 |
| Entity Type | Individual |
| Full Name | JENNIFER KELLAMS |
| Other Name | JENNIFER KLEBER |
| Practice Address |
534 E Graham Pl Bloomington IN 47401-4530 |
| Practice Telephone | 3173791209 |
| Mailing Telephone | 3173791209 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | LL 60507504 | WA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SP 22380 | CA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 22005722 | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPARTMENT OF HEALTH, WASHINGTON STATE | LL 60507504 | 01 |
| CA | SPEECH LANGUAGE PATHOLOGY & AUDIOLOGY & HEARING AID DISPENSERS B | SP 22380 | 01 |
| IN | INDIANA PUBLIC LICENSING AGENCY, SPEECH-LANGUAGE PATHOLOGY | 22005722 | 01 |
| Street Address |
534 E GRAHAM PL |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1013542067 | Kathleen T Schlais | Speech-Language Pathologist | 605 Bradley Dr Apt C, Bloomington, IL 61701-2244 | 2020-03-10 |
| 1134789936 | Sara Jean Farmer | Speech-Language Pathologist | 2001 S Morris Ave Apt 5, Bloomington, IL 61704-7513 | 2019-06-14 |
| 1538638614 | Erin Elizabeth Gratzer | Speech-Language Pathologist | 963 S State Road 446, Bloomington, IN 47401-8813 | 2018-11-18 |
| 1568944569 | Amy Mammadov | Speech-Language Pathologist | 7 Callahan Ct, Bloomington, IL 61705-1701 | 2018-09-05 |
| 1336620087 | Alycia Leane Carroll | Speech-Language Pathologist | 1605 E Oakland Ave, Bloomington, IL 61701-5617 | 2018-08-21 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1275079089 | Michele Jean Johnson | Speech-Language Pathologist | 3211 Clairbridge Dr, Bloomington, IL 61704-9474 | 2017-01-18 |
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1386198778 | Nicole Marie Hartke | Speech-Language Pathologist | 3122 Rudder Ln Apt 105, Bloomington, IL 61704-8203 | 2016-08-15 |
| 1912385394 | Melissa Velazquez | Speech-Language Pathologist | 618 S Bobcat Bnd, Bloomington, IN 47403-8011 | 2015-05-18 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on JENNIFER KELLAMS.
| 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.