MRS. JACQUELINE RAE TYRELL


Address: 145 Tivoli Way, Sacramento, CA 95819-1933
Phone: 9164268374

MRS. JACQUELINE RAE TYRELL (NPI# 1396211538) 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) 1396211538
Entity Type Individual
Full Name MRS. JACQUELINE RAE TYRELL
Other Name MS. JACQUELINE RAE BROWN
Credential MS CCC-SLP
Practice Address 145 Tivoli Way
Sacramento
CA 95819-1933
Practice Telephone 9164268374
Mailing Telephone 9164268374
Enumeration Date 2018-10-15
Last Update Date 2018-10-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 8276 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 145 TIVOLI WAY
City SACRAMENTO
State CA
Zip Code 95819-1933

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1205288222 Jerad Eugene Morris Registered Nurse 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 2016-07-02
1114306289 Sacramento Skilled Nursing and Long Term Care Medical Group Inc. Internal Medicine 1133 42 Nd Street, Sacramento, CA 95819 2015-05-22
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1225319015 Kaitlin J Nicoletti Anesthesiology 3939 J Street Suite 310, Sacramento, CA 95819 2011-09-07
1255654570 Jamal Rahman Rahimi Emergency Medicine 4870 T St., Sacramento, CA 95819 2010-03-02
1265605273 Earl Willis Weyers Anesthesiology 3939 J St Ste 310, Sacramento, CA 95819 2008-04-10
1376744599 Jennifer E Keller Surgery 5725 F Street, Suite 3, Sacramento, CA 95819 2007-05-29
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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
1780284539 Annalissa Ramos-garcia Speech-Language Pathologist 2575 33rd St Apt 4, Sacramento, CA 95817-1941 2020-10-30
1114568110 Emily Michelle Abi-nader Speech-Language Pathologist 2741 Riverside Blvd Ste B, Sacramento, CA 95818-2900 2019-10-01
1982263281 Katharina Lawrence Speech-Language Pathologist 1618 27th St, Sacramento, CA 95816-6905 2019-06-10
1578129474 Angela Gurule Speech-Language Pathologist 2621 Creekside Ln, Sacramento, CA 95821-6126 2019-05-15
1730744129 Alina Topchiy Speech-Language Pathologist 1860 Howe Ave Ste 260, Sacramento, CA 95825-1094 2019-05-01
1013571637 Suzanne Alison Yadao Speech-Language Pathologist 4101 Los Coches Way, Sacramento, CA 95864-5239 2019-04-29
1649735424 Da'shalyn Francis Speech-Language Pathologist 8803 La Riviera Dr Apt 110, Sacramento, CA 95826-2038 2019-02-05
1427531201 Staphonya Washington Speech-Language Pathologist 7450 Braeridge Way, Sacramento, CA 95831-4004 2018-09-07
1104312602 Mora Mahoney Speech-Language Pathologist 3504 J St Apt 14, Sacramento, CA 95816-5495 2018-07-08
1598256661 Katherine Harris Speech-Language Pathologist 1801 T St Apt 3, Sacramento, CA 95811-7238 2018-05-24
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Competitor

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City SACRAMENTO
Zip Code 95819

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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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