STEPHANIE EVA WISNIEWSKI


Address: 100 Mario Capecchi Dr, Primary Children's Rehab, Salt Lake City, UT 84113-1103
Phone: 8016024980

STEPHANIE EVA WISNIEWSKI (NPI# 1548677297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548677297
Entity Type Individual
Full Name STEPHANIE EVA WISNIEWSKI
Credential M.A., CCC-SLP
Practice Address 100 Mario Capecchi Dr
Primary Children's Rehab
Salt Lake City
UT 84113-1103
Practice Telephone 8016024980
Mailing Telephone 8016024980
Enumeration Date 2014-07-15
Last Update Date 2015-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 9072041-4104 UT Speech, Language and Hearing Service Providers

Office Location

Street Address 100 MARIO CAPECCHI DR
PRIMARY CHILDREN'S REHAB
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111810 Andrew Gerald Smith Legal Medicine 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2005-08-11
1235535485 Ihc Health Services Inc Clinic/Center 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-11-17
1508262833 Aimee Brierley Occupational Therapist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-11-13
1801290986 Jeffery Zobell Pharmacist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-10-17
1336542778 Bevan Jensen Pharmacist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-09-30
1699183152 Kristina Rogers Dentist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-07-29
1184044877 Adam Wesley Dell Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-04-21
1225456718 Bhanu Muniyappa Pediatrics 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 2014-04-01
1265850952 Kristina Gulliver Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-03-31
1003233040 Kaitlin Carpenter Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881223220 Jacqueline Dailey Valles Speech-Language Pathologist 1546 E Sunnyside Ave, Salt Lake City, UT 84105-1633 2020-04-07
1871133264 Lindsay Marlene Jones Speech-Language Pathologist 3478 E Macintosh Ln, Salt Lake City, UT 84121-4511 2020-01-13
1558902361 Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist 1465 S Ute Dr, Salt Lake City, UT 84108-2433 2019-10-02
1407367121 Jennifer Anne Whelan Speech-Language Pathologist 630 E 18th Ave, Salt Lake City, UT 84103-3715 2017-10-20
1225586746 Camille Smith Speech-Language Pathologist 440 D St Ste 202, Salt Lake City, UT 84103-2827 2016-09-13
1831563303 Stephanie Singleton Speech-Language Pathologist 8 Th Ave N & C St, Salt Lake City, UT 84143-0001 2015-11-20
1437523230 Breana Cannon Speech-Language Pathologist 1027 E Barbara Pl, 5, Salt Lake City, UT 84102-3149 2015-11-17
1730566050 Katrina Holle Hahn Speech-Language Pathologist 44 N. Mario Capecchi Drive, Salt Lake City, UT 84114-4671 2015-05-06
1225435589 Let's Talk Speech and Language Services, LLC Speech-Language Pathologist 1067 E Austin Ave, Salt Lake City, UT 84106-2105 2014-12-01
1912325895 Kathryn Shumaker Speech-Language Pathologist 206 N 2100 W Ste 201, Salt Lake City, UT 84116-4740 2014-03-28
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Competitor

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City SALT LAKE CITY
Zip Code 84113

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Dataset Information

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.

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