MOLLY ERTZ (NPI# 1487820684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487820684 |
| Entity Type | Individual |
| Full Name | MOLLY ERTZ |
| Credential | M.S., CCC-SLP |
| Practice Address |
1044 Crestview Cir Baraboo WI 53913-1029 |
| Practice Telephone | 6083931577 |
| Mailing Telephone | 6083931577 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2942-154 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42588000 | 05 |
| Street Address |
1044 CRESTVIEW CIR |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| 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 |
|---|---|---|---|---|
| 1780938472 | Jennifer Dodd | Speech-Language Pathologist | 413 14th Ave, Baraboo, WI 53913-1331 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1659972982 | Patricia Theisen | Speech-Language Pathologist | 1515 Greenview Ave, Janesville, WI 53548-2800 | 2020-11-03 |
| 1487254108 | Samantha Lee Roberts | Speech-Language Pathologist | 3311 E Parkside Blvd Apt 125, Appleton, WI 54915-5631 | 2020-10-30 |
| 1134728751 | Mahwish Hashmi | Speech-Language Pathologist | 198 Caraway Pl, Sun Prairie, WI 53590-9537 | 2020-10-23 |
| 1891394508 | Lisa Kay Gaede | Speech-Language Pathologist | 424 River Dr, Black River Falls, WI 54615-9001 | 2020-10-22 |
| 1083213276 | Laura Swenson | Speech-Language Pathologist | 1922 State Road 87, Saint Croix Falls, WI 54024-7937 | 2020-10-20 |
| 1427656453 | Suzanne Q Hamilton | Speech-Language Pathologist | 2304 Hillcrest Dr, Janesville, WI 53545-4318 | 2020-10-12 |
| 1689272841 | Unbridled Abilities, LLC. | Speech-Language Pathologist | 1149 River Ridge Rd, River Falls, WI 54022-3412 | 2020-10-10 |
| 1104423490 | Tresa S Van Roo | Speech-Language Pathologist | W124 Us Highway 10, Mondovi, WI 54755-7837 | 2020-10-08 |
| 1538775531 | Haley Davidson | Speech-Language Pathologist | 960 S Rapids Rd # 4146, Manitowoc, WI 54220-4146 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.