MRS. MARY CHRISTINE MICHENER (NPI# 1386710069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386710069 |
| Entity Type | Individual |
| Full Name | MRS. MARY CHRISTINE MICHENER |
| Credential | M.S. CCC SLP |
| Practice Address |
1525 Addison Ave E Ste 6 Twin Falls ID 83301-5383 |
| Mailing Address |
1175 E 900 S Eden ID 83325-5009 |
| Practice Telephone | 2084201316 |
| Practice Fax Number | 2087330120 |
| Mailing Telephone | 2088255778 |
| Mailing Fax Number | 2087330120 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1400 | ID | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD PROVIDER NUMB | 000010141489 | 01 |
| ID | BLUE CROSS PROVIDER NUMBE | SP656 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124038724 | Mary S Michener | Family Medicine | 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 | 2006-08-08 |
| Street Address |
1525 ADDISON AVE E STE 6 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1134645013 | Jeremy Daniel Chatterton | Speech-Language Pathologist | 2550 Addison Ave E # B, Twin Falls, ID 83301-6749 | 2017-08-22 |
| 1306184643 | Jean Marie Johnson | Speech-Language Pathologist | 831 Grace Dr W, Twin Falls, ID 83301-3296 | 2013-01-22 |
| 1447594940 | Amanda Elizabeth Sisneros | Speech-Language Pathologist | 1134 Cheney Dr W, Twin Falls, ID 83301-1202 | 2012-11-21 |
| 1760786669 | Julie Ann Whitehead | Speech-Language Pathologist | 475 Mahard Dr, Twin Falls, ID 83301-0275 | 2011-01-06 |
| 1982918876 | Katie Small | Speech-Language Pathologist | 801 Pole Line Rd W Ste 3802, Twin Falls, ID 83301-5811 | 2010-08-03 |
| 1023344322 | Joy Oquinn Hoffman | Speech-Language Pathologist | 2550 Addison Ave E Ste D, Twin Falls, ID 83301-6748 | 2009-10-22 |
| 1902043763 | Kamara L Gillette | Speech-Language Pathologist | 832 Alturas Dr N, Twin Falls, ID 83301-4203 | 2009-01-15 |
| 1447414313 | Carla Sue Mingo | Speech-Language Pathologist | 119 Polk St, Twin Falls, ID 83301-5158 | 2008-07-10 |
| 1699938555 | Shawna Murphy | Speech-Language Pathologist | 3785 N 2538 E, Twin Falls, ID 83301-5772 | 2008-07-09 |
| 1861686032 | Ezekiel Hans Kelsey | Speech-Language Pathologist | 3231 Spring Creek Dr, Twin Falls, ID 83301 | 2007-08-30 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MRS. MARY CHRISTINE MICHENER.
| 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.