KEESHA L. PETERSON (NPI# 1417147760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417147760 |
| Entity Type | Individual |
| Full Name | KEESHA L. PETERSON |
| Credential | M. S. CCC-SLP |
| Practice Address |
1418 College Drive Physical Medicine Department Mount Carmel IL 62863 |
| Mailing Address |
1418 College Dr Mount Carmel IL 62863-2638 |
| Practice Telephone | 6182636343 |
| Practice Fax Number | 6182636477 |
| Mailing Telephone | 6182636343 |
| Mailing Fax Number | 6182636477 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146-005206 | IL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 22003291A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
1418 COLLEGE DRIVE PHYSICAL MEDICINE DEPARTMENT |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
| 1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1740488139 | Wabash Area Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1420 West Third Street, Mt. Carmel, IL 62863 | 2007-07-06 |
| 1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
| 1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
| 1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
| 1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| 1588053243 | Amber Nickol | Counselor | 1001 N Market St, Mount Carmel, IL 62863 | 2015-01-20 |
| Find all providers in zip 62863 | ||||
| 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 |
|---|---|---|---|---|
| 1194326363 | Cheryl Clemens | Speech-Language Pathologist | 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 | 2020-11-04 |
| 1538671433 | Lisa P Benedict | Speech-Language Pathologist | 1300 N Walnut St, Mount Carmel, IL 62863-1257 | 2017-11-01 |
| 1578836425 | Rebecca Susanna Schu | Speech-Language Pathologist | 127 East Ave, Mount Carmel, PA 17851-1411 | 2012-02-22 |
| 1578687018 | Mary B. Cortellini | Speech-Language Pathologist | 516 W 3rd St, Mount Carmel, PA 17851-1839 | 2007-03-19 |
| 1518985498 | Alison Mayhue | Speech-Language Pathologist | 20660 E 700 Rd, Mount Carmel, IL 62863-4186 | 2006-07-18 |
| 1417421058 | Briana Sendatch | Speech-Language Pathologist | 2616 Locust Gap Hwy, Mount Carmel, PA 17851-1881 | 2019-01-16 |
| 1326514621 | Teresa Ann Berberich | Speech-Language Pathologist | 1300 N Walnut St, Mount Carmel, IL 62863-1257 | 2018-10-15 |
| 1720588957 | Hayley Kennard | Speech-Language Pathologist | 1320 W 9th St, Mount Carmel, IL 62863-2905 | 2018-02-14 |
| 1043652399 | Samantha Buss | Speech-Language Pathologist | 1320 W 9th St, Mount Carmel, IL 62863-2905 | 2013-07-26 |
| 1801912746 | Diane Altomare | Speech-Language Pathologist | 121 E 2nd St, Mount Carmel, PA 17851-1435 | 2007-03-22 |
| Find all providers in MOUNT CARMEL | ||||
| City | MOUNT CARMEL |
| Zip Code | 62863 |
Please comment or provide details below to improve the information on KEESHA L. PETERSON.
| 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.