MRS. JEANNA R ANTRIM (NPI# 1619308665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619308665 |
| Entity Type | Individual |
| Full Name | MRS. JEANNA R ANTRIM |
| Credential | M.S., CCC-SLP |
| Practice Address |
2411 Pathways Xing Belleville IL 62221-5885 |
| Mailing Address |
1008 Chancellor Dr Edwardsville IL 62025-3904 |
| Practice Telephone | 6183554756 |
| Mailing Telephone | 2178213571 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 2012038579 | MO | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 146.011139 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 146.011139 | 05 |
| Street Address |
2411 PATHWAYS XING |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-5885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200806 | Katheleen Schmidt | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2020-09-16 |
| 1659985810 | Kevin Andrew Chadwick-fisher | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2020-09-04 |
| 1083233019 | Kathryn Stump Holt | Occupational Therapist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2020-04-09 |
| 1255988788 | Amanda Hargan | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2019-08-20 |
| 1851959621 | Lisa Marie Brentlinger | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2019-06-05 |
| 1073096798 | Victoria Corporon | Speech-Language Pathologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2018-09-09 |
| 1376023168 | Kaylie Lou Riley | Speech-Language Pathologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2018-08-21 |
| 1023528940 | Melinda Hawley | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2017-10-05 |
| 1710404033 | Michelle Marie Quinn Eschman | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2017-08-28 |
| 1679090997 | Belleville Area Special Services Cooperative | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| 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 |
|---|---|---|---|---|
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1275927279 | Landria Green, Pllc | Speech-Language Pathologist | 42861 Stratford Dr, Belleville, MI 48111-1729 | 2015-03-27 |
| 1376946400 | Chinetta Mcleod | Speech-Language Pathologist | 49143 Laguna Dr, Belleville, MI 48111-4969 | 2014-10-03 |
| 1932517109 | Sara Hedrick | Speech-Language Pathologist | 317 Weatherstone Dr, Belleville, IL 62221-5837 | 2014-07-31 |
| 1457775132 | Christine Carrier | Speech-Language Pathologist | 20 S 27th St, Belleville, IL 62226-6724 | 2014-02-14 |
| 1093139461 | Susan R Hilker | Speech-Language Pathologist | 700 W Cleveland Ave, Belleville, IL 62220-2465 | 2014-02-06 |
| 1619308699 | Brenda Kirk | Speech-Language Pathologist | 2465 Amann Dr, Belleville, IL 62220-3463 | 2013-12-02 |
| 1770914749 | Debra Gordon | Speech-Language Pathologist | 2555 West Blvd, Belleville, IL 62221-5525 | 2013-12-02 |
| 1831454172 | Ashlie Kristina Mitchell | Speech-Language Pathologist | 34 Ben Louis Dr, Belleville, IL 62226-5712 | 2012-07-12 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
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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.