BREAKING BOUNDARIES, LLC (NPI# 1528609278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528609278 |
| Entity Type | Organization |
| Organization Name | BREAKING BOUNDARIES, LLC |
| Practice Address |
471 Highway 590 Ellisville MS 39437-8241 |
| Practice Telephone | 6013194056 |
| Mailing Telephone | 6013194056 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | AMY E YOUNG (MANAGER) |
| Authorized Official Telephone | 6013194056 |
| Authorized Official Credential | MS CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
471 HIGHWAY 590 |
| City | ELLISVILLE |
| State | MS |
| Zip Code | 39437-8241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
| 1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
| 1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
| 1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
| 1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
| 1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
| 1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
| 1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
| 1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
| 1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
| Find all providers in zip 39437 | ||||
| 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 |
|---|---|---|---|---|
| 1982223020 | Carol Nacke | Speech-Language Pathologist | 235 Clayton Oaks Dr, Ellisville, MO 63011-2055 | 2020-04-09 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1851708614 | Anna T Mccarthy | Speech-Language Pathologist | 15874 Clayton Rd, Ellisville, MO 63011-2212 | 2014-07-14 |
| 1104258177 | Saundra Daugherty | Speech-Language Pathologist | 317 Ozark Trail Dr, Suite 110, Ellisville, MO 63011-2191 | 2013-08-01 |
| 1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
| 1063662765 | Elizabeth G. Bates | Speech-Language Pathologist | 317 Ozark Trail Dr., Suite 110, Ellisville, MO 63011-5533 | 2008-09-30 |
| 1083253488 | Abigail Collett | Speech-Language Pathologist | 16219 Autumn View Terrace Dr, Ellisville, MO 63011-4743 | 2020-01-02 |
| 1376913905 | Julie Becker | Speech-Language Pathologist | 15826 Clayton Rd, Ellisville, MO 63011-2240 | 2015-09-24 |
| 1396112769 | Brooke Zoller | Speech-Language Pathologist | 15834 Clayton Rd, Ellisville, MO 63011-2212 | 2015-09-01 |
| 1134552540 | Bridget Anne Lanigan | Speech-Language Pathologist | 322 Old State Rd, Ellisville, MO 63021-5917 | 2013-08-21 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 39437 |
Please comment or provide details below to improve the information on BREAKING BOUNDARIES, LLC.
| 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.