MIA K. D. WARDELL (NPI# 1487261350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487261350 |
| Entity Type | Individual |
| Full Name | MIA K. D. WARDELL |
| Practice Address |
4400 Keller Ave Ste 200 Oakland CA 94605-4229 |
| Mailing Address |
1142 Calboro Dr San Jose CA 95117-2916 |
| Practice Telephone | 5106392929 |
| Mailing Telephone | 4088912660 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 14935 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
4400 KELLER AVE STE 200 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497983480 | Elizabeth Sautter | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2009-06-29 |
| 1902415920 | Brennah Rozelle Cooney | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2020-07-27 |
| 1265059604 | Laura Borquez | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2020-07-01 |
| 1720625320 | Erica Michele Teicheira | Specialist/Technologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-12-03 |
| 1588217665 | Masika Nia Henry | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-18 |
| 1346892007 | Samantha Renee Fisher | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-12 |
| 1699327692 | Family First Psychotherapy, Inc. | Psychologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-10 |
| 1407418189 | Colin Matthew Mcinnis | Specialist/Technologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-03 |
| 1326527581 | Center for Adolescent Studies, Inc. | Psychologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2018-08-08 |
| 1912495276 | Sonali Desai | Specialist/Technologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| 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 |
|---|---|---|---|---|
| 1730797432 | Roberta Elman | Speech-Language Pathologist | 3996 Lyman Rd, Oakland, CA 94602-1857 | 2020-07-19 |
| 1093354722 | Monique Dunn-little | Speech-Language Pathologist | 2101 Livingston St, Oakland, CA 94606-5218 | 2019-12-28 |
| 1306494281 | Elizabeth Uduehi | Speech-Language Pathologist | 3666 Grand Ave, Oakland, CA 94610-2046 | 2019-09-03 |
| 1659936193 | Tara Nelson | Speech-Language Pathologist | 2436 66th Ave, Oakland, CA 94605-1917 | 2019-05-09 |
| 1922560127 | Sarah Power | Speech-Language Pathologist | 3666 Grand Ave Ste A, Oakland, CA 94610-2046 | 2019-04-05 |
| 1649731589 | Manrup Khatkar | Speech-Language Pathologist | 2210 10th Ave Apt 105, Oakland, CA 94606-2656 | 2019-03-25 |
| 1205304441 | Ashley Kippins | Speech-Language Pathologist | 6325 Camden St, Oakland, CA 94605-1640 | 2018-11-06 |
| 1053809046 | Beatriz Elena Larroude | Speech-Language Pathologist | 3640 Grand Ave Ste 102, Oakland, CA 94610-2023 | 2018-04-25 |
| 1790272193 | Laura Paget | Speech-Language Pathologist | 311 Oak St Apt 715, Oakland, CA 94607-4613 | 2018-04-20 |
| 1972004091 | Sarah Halls | Speech-Language Pathologist | 3645 Grand Ave Ste 304, Oakland, CA 94610-2040 | 2018-02-23 |
| Find all providers in OAKLAND | ||||
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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.