MRS. KATHLEEN MARY KOENIG (NPI# 1518131648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518131648 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARY KOENIG |
| Credential | SLP |
| Practice Address |
1675 Eagle Harbor Pkwy Suite B Orange Park FL 32003-4802 |
| Mailing Address |
421 Tortoise Trce Saint Johns FL 32259-5460 |
| Practice Telephone | 9046370148 |
| Mailing Telephone | 9042305593 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA 9399 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1295795243 | Kathleen Koenig | Clinical Nurse Specialist | 230 S Frontage Rd, Sterling Hall of Medicine, New Haven, CT 06519-1124 | 2006-03-24 |
| Street Address |
1675 EAGLE HARBOR PKWY SUITE B |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578739975 | Kristopher Edward Wilson | Occupational Therapist | 1675 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4802 | 2008-05-06 |
| 1174048631 | Dawn Carwile | Physical Therapist | 1675 Eagle Harbor Pkwy, Orange Park, FL 32003-4802 | 2017-08-07 |
| 1023485141 | Crystle Taiyo Kearley | Physical Therapist | 1675 Eagle Harbor Pkwy, Orange Park, FL 32003-4802 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1609482959 | Eloise Peggy Dorsey | Speech-Language Pathologist | 2899 Country Club Blvd, Orange Park, FL 32073-5733 | 2020-09-22 |
| 1295396950 | Sarah J Loveland | Speech-Language Pathologist | 554 Chestwood Chase Dr, Orange Park, FL 32065-2571 | 2019-06-24 |
| 1477068518 | Shante Aleah Sellers | Speech-Language Pathologist | 2625 Spencers Plantation Blvd, Orange Park, FL 32073-1950 | 2017-12-12 |
| 1598214975 | Danielle Mccallister | Speech-Language Pathologist | 108 Kingsley Ave Ste 2, Orange Park, FL 32073-5686 | 2016-09-27 |
| 1962825398 | Harvest Intervention Services, L.L.C. | Speech-Language Pathologist | 3750 Silver Bluff Blvd, Bldg 29, Orange Park, FL 32065-4262 | 2014-01-21 |
| 1710226949 | Ronda Ann Corfield | Speech-Language Pathologist | 1215 Kingsley Ave., Consulate Healthcare of Orange Park, Orange Park, FL 32073 | 2013-02-07 |
| 1225389844 | Kimberly W Tees | Speech-Language Pathologist | 1478 Greenway Pl, Orange Park, FL 32003-8335 | 2012-09-21 |
| 1982907101 | Stephanie Michelle Chesser | Speech-Language Pathologist | 3978 Royal Pines Dr, Orange Park, FL 32065-2553 | 2010-12-09 |
| 1073849832 | Joann Denemark Inc. | Speech-Language Pathologist | 114 Vanderford Rd N, Orange Park, FL 32073-5968 | 2009-10-28 |
| 1881828515 | Michele A. Bell-badger | Speech-Language Pathologist | 2949 Thorncrest Dr, Orange Park, FL 32065-2252 | 2009-05-09 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on MRS. KATHLEEN MARY KOENIG.
| 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.