MRS. ELIZABETH JOHNSON (NPI# 1619495934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619495934 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH JOHNSON |
Practice Address |
103 Briarbrook Dr East Peoria IL 61611-4474 |
Practice Telephone | (309) 338-9204 |
Mailing Telephone | 3093389204 |
Enumeration Date | 2017-09-07 |
Last Update Date | 2017-09-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 1460007925 | IL | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
1275169138 | Elizabeth Layla Johnson | Social Worker | 978 Dekalb Ave Apt 3, Brooklyn, NY 11221-6404 | 2020-03-22 |
1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
1174013957 | Elizabeth Johnson | Psychologist | 322 5th Ave Apt A, San Francisco, CA 94118-2310 | 2018-05-16 |
1245739937 | Elizabeth Anne Johnson | Specialist/Technologist | 900 Nw Bryant St, Pullman, WA 99163-3009 | 2018-02-08 |
1720591886 | Elizabeth Michele Johnson | Licensed Practical Nurse | 16 Dartmouth Rd, Highland Mills, NY 10930-2605 | 2017-11-13 |
1417466046 | Elizabeth A Johnson | Nurse Practitioner | 1107b Brookdale St, Martinsville, VA 24112-4501 | 2017-09-27 |
1053834572 | Elizabeth Kaye Johnson | Social Worker | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 |
1699162503 | Elizabeth Johnson | Occupational Therapist | E6717 County Road Nn, Viroqua, WI 54665-7724 | 2015-04-17 |
1396135596 | Elizabeth Johnson | Counselor | 553 Ashton Manor Dr, Loganville, GA 30052-5387 | 2015-01-27 |
Street Address |
103 BRIARBROOK DR |
City | EAST PEORIA |
State | IL |
Zip Code | 61611-4474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548736390 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 133 Spinder Drive Ste 4015, East Peoria, IL 61611 | 2018-10-19 |
1083128474 | Abc Counseling & Family Services | Clinic/Center | 111 W. Washington St., Suite 410b, East Peoria, IL 61611 | 2017-11-22 |
1386162253 | Cheryl Denise Hagedorn | Speech-Language Pathologist | 306 Eckley Avenue, East Peoria, IL 61611 | 2017-08-31 |
1710342076 | Rebecca Uthe | Physical Therapist | 901 Illini Drive, East Peoria, IL 61611 | 2015-12-30 |
1669812103 | Christopher Webb | Dentist | 360 West Washington Street, East Peoria, IL 61611 | 2013-06-28 |
1386985380 | Dental Professionals of Illinois, P.C. | Dentist | 368 W. Washington St., East Peoria, IL 61611 | 2013-03-15 |
1730432675 | Synergy Healthcare Physical Medicine Sc | Chiropractor | 350 Cimmeron Drive, East Peoria, IL 61611 | 2012-10-16 |
1508122029 | Daniel Benjamin Gans | Radiology | 111 Oakwood Rd, East Peoria, IL 61611 | 2012-04-10 |
1326288390 | Sara Sabry Fouad Rizk | Pharmacist | 2540 East Washington Street, East Peoria, IL 61611 | 2009-03-03 |
1356466007 | Tazwood Mental Health Center, Inc. | Counselor | 111 W. Washington Street, Suite 230, East Peoria, IL 61611 | 2007-03-20 |
Find all providers in zip 61611 |
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 |
---|---|---|---|---|
1942858766 | Melinda West | Speech-Language Pathologist | 207 Juniper Ln, East Peoria, IL 61611-1526 | 2019-08-27 |
1386162253 | Cheryl Denise Hagedorn | Speech-Language Pathologist | 306 Eckley Avenue, East Peoria, IL 61611 | 2017-08-31 |
1609394675 | Lorie Ann Livingston | Speech-Language Pathologist | 100 Avenue Notre Dame, East Peoria, IL 61611-1501 | 2017-08-30 |
1285072389 | Perri Marie Grimm | Speech-Language Pathologist | 3002 N Main St, East Peoria, IL 61611-1713 | 2013-06-11 |
1316112139 | Mueller Pediatric Therapy, Ltd. | Speech-Language Pathologist | 411 E Washington St, East Peoria, IL 61611-2663 | 2008-04-23 |
1730212986 | Erin Nicole Lynette Mueller | Speech-Language Pathologist | 110 Carver Ln, East Peoria, IL 61611-3052 | 2007-03-14 |
1376566067 | Katrina Renee Gelhausen | Speech-Language Pathologist | 112 Heatherview Dr, East Peoria, IL 61611-4889 | 2006-07-25 |
1487253332 | Grace Gould | Speech-Language Pathologist | 110 Carver Ln, East Peoria, IL 61611-3052 | 2020-10-21 |
1639776859 | Lauren Burns | Speech-Language Pathologist | 110 Carver Ln, East Peoria, IL 61611-3052 | 2020-10-01 |
1083211247 | Melissa Clayton | Speech-Language Pathologist | 110 Carver Ln, East Peoria, IL 61611-3052 | 2020-10-01 |
Find all providers in EAST PEORIA |
City | EAST PEORIA |
Zip Code | 61611 |
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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.