KELLY JERDEN (NPI# 1548822448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548822448 |
| Entity Type | Individual |
| Full Name | KELLY JERDEN |
| Practice Address |
111 W Anderson Ln Ste C100 Austin TX 78752-1119 |
| Practice Telephone | 5124510961 |
| Practice Fax Number | 8882537178 |
| Mailing Telephone | 5124510961 |
| Mailing Fax Number | 8882537178 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
111 W ANDERSON LN STE C100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78752-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417254103 | Katherine Elizabeth Gebhart | Occupational Therapist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2011-02-16 |
| 1245848258 | Jenny L Matthews | Specialist/Technologist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2020-07-15 |
| 1578171591 | Elizabeth Frances Bennett | Speech-Language Pathologist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2020-07-15 |
| 1316509201 | Kendall Harshberger | Occupational Therapist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2019-07-01 |
| 1780173195 | Mallorie Garcia | Occupational Therapist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2018-05-02 |
| 1710408760 | Kelsie Anne Townsend | Occupational Therapist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2017-06-29 |
| 1396105482 | Molly O'neill | Occupational Therapist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996807 | Jessica Wells | Social Worker | 313 East Anderson Lane, Suite 120, Austin, TX 78752 | 2019-05-08 |
| 1043702483 | Amelia Secord | Occupational Therapist | 7701 N Lamar, Suite 314, Austin, TX 78752 | 2018-06-01 |
| 1871082420 | J&w Vision Associates Pllc | Optometrist | 6929 Airport Blvd Ste 165, Austin, TX 78752 | 2018-05-08 |
| 1124539242 | The Refuge for Dmst | Counselor | 300 East Saint Johns Ave., Austin, TX 78752 | 2017-10-16 |
| 1639689441 | Sleep Cycle Center, LLC | Dentist | 7101 Easy Wind Dr Unit 3116, Austin, TX 78752 | 2017-10-06 |
| 1215458997 | Jose De Jesus Garcia-cuellar | Social Worker | 7701 N Lamar Blvd Ste 313, Austin, TX 78752 | 2017-07-03 |
| 1619415213 | Infinite Recovery LLC | Substance Abuse Rehabilitation Facility | 7517 Cameron Rd Ste #118, Austin, TX 78752 | 2017-02-03 |
| 1043756612 | Tse Transport Services | Non-emergency Medical Transport (VAN) | 7223 Creekside Drive, Austin, TX 78752 | 2017-01-06 |
| 1912442823 | Anesha Roshon Brown-morris | Massage Therapist | 6406 North Ih 35, Suite 2300, Suite 308, Austin, TX 78752 | 2016-12-31 |
| 1831540319 | Eva Dolores Sloan | Counselor | 500 East St. John's Ave, Austin, TX 78752 | 2016-06-27 |
| Find all providers in zip 78752 | ||||
| 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 |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1477153815 | Into Words Therapy Pllc | Speech-Language Pathologist | 11501 Oak Knoll Dr, Austin, TX 78759-3802 | 2020-10-26 |
| 1174122618 | Thoughtful Slp, Pllc | Speech-Language Pathologist | 7806 Copperas Dr, Austin, TX 78749-3807 | 2020-10-24 |
| 1255938643 | Ashley Rocha | Speech-Language Pathologist | 293 Cistern Way, Austin, TX 78737-1701 | 2020-10-08 |
| 1790392918 | Madison Haley Houston | Speech-Language Pathologist | 5400 W Parmer Ln Apt 1623, Austin, TX 78727-3922 | 2020-09-30 |
| 1356952337 | Jordan Dru Moore | Speech-Language Pathologist | 2709 Francisco St Unit B, Austin, TX 78702-3920 | 2020-08-12 |
| 1700497070 | Tracy George Thottam | Speech-Language Pathologist | 3607 Menchaca Rd, Austin, TX 78704-5947 | 2020-08-11 |
| 1184234759 | Sarah Marie Stancey | Speech-Language Pathologist | 12013 Mira Mesa Dr, Austin, TX 78732-2138 | 2020-08-07 |
| 1396354080 | Hear for You Speech-language Pathology | Speech-Language Pathologist | 8922 Menchaca Rd Unit 404, Austin, TX 78748-5314 | 2020-07-28 |
| 1275141715 | Leslie Anne Morris | Speech-Language Pathologist | 1007 Milam Pl, Austin, TX 78704-2629 | 2020-07-21 |
| Find all providers in AUSTIN | ||||
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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.