KELLY RUSSO (NPI# 1487218012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487218012 |
| Entity Type | Individual |
| Full Name | KELLY RUSSO |
| Practice Address |
9047 W Greenfield Ave West Allis WI 53214-2800 |
| Practice Telephone | 4144539290 |
| Mailing Telephone | 4144539290 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467466656 | Kelly Sipe Russo | Internal Medicine | 1 Harry S Truman Pkwy, Ms 3102, Annapolis, MD 21401-7037 | 2006-07-27 |
| 1073822409 | Kelly Lynn Russo | Speech-Language Pathologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2010-10-04 |
| 1326362815 | Kelly T Russo | Pharmacist | 11 E Main St, Marcellus, NY 13108-1224 | 2010-03-26 |
| 1770805830 | Kelly White Russo | Pharmacist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2010-02-17 |
| 1265664734 | Kelly L Russo | Psychologist | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-08-18 |
| 1326115841 | Kelly A Russo | Physical Therapist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2006-11-29 |
| Street Address |
9047 W GREENFIELD AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750671 | Lexington Healthcare LLC | Skilled Nursing Facility | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2005-09-15 |
| 1902466873 | Aric Wormington | Speech-Language Pathologist | 9047 W Greenfield Ave, West Allis, WI 53214-2800 | 2019-06-13 |
| 1992102974 | Brianna Heinz | Occupational Therapy Assistant | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2014-11-19 |
| 1669888962 | Heidi Wacker | Speech-Language Pathologist | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2014-07-08 |
| 1033533773 | Timothy Philip Vanbogaert | Physical Therapy Assistant | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2014-02-18 |
| 1730457268 | Rindee Mowery | Speech-Language Pathologist | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2011-12-12 |
| 1356641633 | Jared Story | Physical Therapy Assistant | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2010-11-02 |
| 1881994457 | Jamie Ann Tesch | Speech-Language Pathologist | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2010-10-28 |
| 1891928115 | Katie L Rosales | Physical Therapist | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2009-09-02 |
| 1437303088 | Joel David Bauman | Occupational Therapy Assistant | 9047 W Greenfield Ave, West Allis, WI 53214-2808 | 2008-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| 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 |
|---|---|---|---|---|
| 1770878084 | Julie Ann Marzluf | Speech-Language Pathologist | 7330 W Greenfield Ave Ste 206, West Allis, WI 53214-4706 | 2011-06-14 |
| 1386801884 | Ruth M Thielen | Speech-Language Pathologist | 1126 S 70th Street Suite S305b, Wheaton Franciscan Rehab Services, West Allis, WI 53214 | 2008-05-21 |
| 1740495902 | Genevieve Marie Weston | Speech-Language Pathologist | 5301 W Lincoln Ave, West Allis, WI 53219-1652 | 2007-05-11 |
| 1649807645 | Megan Devine | Speech-Language Pathologist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-03-27 |
| 1932732278 | Kristin Michelle Zenz | Speech-Language Pathologist | 3023 S 84th St, West Allis, WI 53227-3703 | 2020-02-14 |
| 1902466873 | Aric Wormington | Speech-Language Pathologist | 9047 W Greenfield Ave, West Allis, WI 53214-2800 | 2019-06-13 |
| 1326517525 | Karen Lien | Speech-Language Pathologist | 10243 W National Ave, West Allis, WI 53227-2028 | 2018-11-16 |
| 1437689718 | Lindsay Jacob | Speech-Language Pathologist | 10243 W National Ave, West Allis, WI 53227-2028 | 2017-06-19 |
| 1699227629 | Julie Anne Brown | Speech-Language Pathologist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2016-10-25 |
| 1659820561 | Amy Mudlaff | Speech-Language Pathologist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2016-10-04 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
Please comment or provide details below to improve the information on KELLY RUSSO.
| 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.