MRS. JUSTINE TAYLOR THEISEN (NPI# 1598056707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598056707 |
| Entity Type | Individual |
| Full Name | MRS. JUSTINE TAYLOR THEISEN |
| Other Name | MS. JUSTINE LYNN TAYLOR |
| Credential | M.A. CCC-SLP |
| Practice Address |
5811 Bamboo Drive Fort Pierce FL 34982-3758 |
| Practice Telephone | 7722423187 |
| Practice Fax Number | 7724947262 |
| Mailing Telephone | 7722423187 |
| Mailing Fax Number | 7724947262 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA10918 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 011847300 | 05 |
| Street Address |
5811 BAMBOO DRIVE |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| 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 |
|---|---|---|---|---|
| 1629514419 | Cedrick Quickley | Speech-Language Pathologist | 5407 Killarney Ave, Fort Pierce, FL 34951-5002 | 2017-01-17 |
| 1710304209 | Jenny Myers | Speech-Language Pathologist | 1106 S Us Highway 1, Fort Pierce, FL 34950-5132 | 2014-03-24 |
| 1184059172 | Ansley Eva Platts | Speech-Language Pathologist | 11670 Twin Creeks Dr, Fort Pierce, FL 34945-2527 | 2013-09-09 |
| 1205278207 | Allison Jane Derocher | Speech-Language Pathologist | 1213 W 1st St, Fort Pierce, FL 34982-7213 | 2013-07-19 |
| 1194074120 | Jeannette Beverly Hummel | Speech-Language Pathologist | 4250 N Highway A1a, Apt 506, Fort Pierce, FL 34949-8369 | 2012-09-06 |
| 1407150212 | Elizabeth Ann Porteus | Speech-Language Pathologist | 5313 Paleo Pines Cir, Fort Pierce, FL 34951-2344 | 2011-01-08 |
| 1194030155 | Grace Therapies, LLC. | Speech-Language Pathologist | 4715 Kirby Loop Rd, Fort Pierce, FL 34981 | 2010-08-15 |
| 1538302526 | Amber Louise Rankin | Speech-Language Pathologist | 5807 Palmetto Dr, Fort Pierce, FL 34982-3220 | 2009-04-07 |
| 1114162427 | Carol Orlando-hayes | Speech-Language Pathologist | 201 Rosewood Dr, Fort Pierce, FL 34947-3423 | 2008-12-16 |
| 1841449865 | Cheryl Scott Mitchell | Speech-Language Pathologist | 210 S Indian River Dr, Fort Pierce, FL 34950-4337 | 2008-09-15 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
Please comment or provide details below to improve the information on MRS. JUSTINE TAYLOR THEISEN.
| 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.