MICHELLE PRACH (NPI# 1467079988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467079988 |
| Entity Type | Individual |
| Full Name | MICHELLE PRACH |
| Credential | CCC-SLP |
| Practice Address |
657 Self Hollow Rd Rockford TN 37853 |
| Mailing Address |
103 S Pine St Maryville TN 37804-5102 |
| Practice Telephone | 8669635569 |
| Mailing Telephone | 8659635569 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6170 | TN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q058420 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2030 Chilhowee Medical Park, Maryville, TN 378045285 | 8659823400 |
| Street Address |
657 SELF HOLLOW RD |
| City | ROCKFORD |
| State | TN |
| Zip Code | 37853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585823 | Purposeful Play Pediatric Therapy Services, Pllc | Speech-Language Pathologist | 657 Self Hollow Rd, Rockford, TN 37853 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457515280 | Carl Gerald Sundahl | Internal Medicine | 4519 Old Knoxville Hwy, Rockford, TN 37853-3023 | 2008-07-10 |
| 1568813830 | Crystal Willis | Licensed Practical Nurse | 253 Roddy Branch Rd, Rockford, TN 37853-3108 | 2016-06-28 |
| 1356733968 | Tiffany Poore | Speech-Language Pathologist | 421 Pine Lakes Ln, Rockford, TN 37853-3201 | 2015-02-19 |
| 1871838656 | Takuo Sonoda | Internal Medicine | 729 Self Hollow Rd, Rockford, TN 37853-3413 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1306444070 | Susan Glover | Social Worker | 65 S Main St Lowr Level, Rockford, MI 49341-1286 | 2020-10-14 |
| 1679171433 | Annie Mae Lundgren | Transportation Broker | 7110 Forest Glen Dr Apt F, Rockford, IL 61114-8033 | 2020-10-14 |
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1831797141 | Camelot Care Centers, LLC | Clinic/Center | 5301 E State St Ste 208, Rockford, IL 61108-2397 | 2020-10-09 |
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1720685704 | Itzayana Rodriguez | Technician | 5037 Carol Ct, Rockford, IL 61108-4157 | 2020-10-02 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1073129425 | Bradley Theodore Dubey | Physical Therapy Assistant | 6533 Cannon Farms Dr Ne, Rockford, MI 49341-8284 | 2020-09-21 |
| Find all providers in ROCKFORD | ||||
| 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 |
|---|---|---|---|---|
| 1063021715 | Mitten State Pediatric Therapy LLC | Speech-Language Pathologist | 6659 Craftsman Square Dr Ne, Rockford, MI 49341-8861 | 2020-07-29 |
| 1093371221 | Teresa Jeannette Doherty | Speech-Language Pathologist | 420 Sunrise Ln, Rockford, IL 61107-4948 | 2019-05-13 |
| 1124536412 | Karen Lynn Locarno | Speech-Language Pathologist | 5620 Spring Creek Rd, Rockford, IL 61114-6442 | 2018-01-20 |
| 1346757374 | Cynthia Otoole - Granberry | Speech-Language Pathologist | 3615 W Gate Pkwy, Rockford, IL 61108-6162 | 2017-12-28 |
| 1245746627 | Jodi L Palmer | Speech-Language Pathologist | 2423 Burrmont Rd, Rockford, IL 61107-1839 | 2017-12-20 |
| 1871008920 | Sharon Marie Garlick | Speech-Language Pathologist | 3805 Rural St, Rockford, IL 61107-3555 | 2017-12-12 |
| 1154836799 | Kate Alison Dineen | Speech-Language Pathologist | 212 N London Ave, Rockford, IL 61107-4425 | 2017-12-05 |
| 1003320920 | Inna Natanova | Speech-Language Pathologist | 5222 Spring Creek Rd, Rockford, IL 61114-6330 | 2017-11-30 |
| 1265946313 | Jane Marie Sudderberg | Speech-Language Pathologist | 1751 Clinton St, Rockford, IL 61103-4804 | 2017-11-28 |
| 1558875799 | Lisa M Johnson | Speech-Language Pathologist | 3520 Kishwaukee St, Rockford, IL 61109-2005 | 2017-11-27 |
| Find all providers in ROCKFORD | ||||
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| 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.