JESSICA BAUER (NPI# 1639579766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639579766 |
| Entity Type | Individual |
| Full Name | JESSICA BAUER |
| Credential | M.S. |
| Practice Address |
5535 S Williamson Blvd Ste 774 Port Orange FL 32128-8321 |
| Mailing Address |
2625 N 19th St Bismarck ND 58503-0574 |
| Practice Telephone | 8882652680 |
| Mailing Telephone | 7012223175 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | SLP-SP-LIC-5948 | MT | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 28636 | CA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 1370 | ND | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | LICENSE | 1370 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2625 N 19th St, Bismarck, ND 585030574 | 7012223175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476963 | Jessica Bauer | Physical Therapist | 2615 Jupiter Dr, Fairfield, OH 45014-5099 | 2018-08-09 |
| 1003342304 | Jessica Bauer | Psychologist | 8547 E Arapahoe Rd Ste J353, Greenwood Village, CO 80112-1436 | 2017-05-04 |
| 1316215361 | Jessica Lynn Bauer | Behavioral Analyst | 805 Fieldcrest Dr, Washington, MO 63090-4708 | 2011-12-06 |
| 1477161362 | Jessica Grierson Bauer | Internal Medicine | 800 Spruce St, Philadelphia, PA 19107-6130 | 2020-07-16 |
| 1225676315 | Jessica Lynn Bauer | Occupational Therapist | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2019-12-19 |
| 1265883557 | Jessica Bauer | Nurse Practitioner | 1713 S Church St, Burlington, NC 27215-5630 | 2016-06-28 |
| 1851684831 | Jessica Lauren Bauer | Obstetrics & Gynecology | 4425 Ponce De Leon Blvd Ste 110, Coral Gables, FL 33146-1842 | 2011-05-24 |
| 1801073614 | Jessica L Bauer | Occupational Therapist | 900 E Broadway Ave, Bismarck, ND 58501 | 2008-01-23 |
| Street Address |
5535 S WILLIAMSON BLVD STE 774 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942564984 | Katie Ginader | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2012-06-25 |
| 1508464199 | Brandon Mansell | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-10-15 |
| 1104423045 | Dunya Sleiman | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-10-05 |
| 1144836354 | Melissa Koch | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-09-22 |
| 1619580917 | Sandra Tai | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-26 |
| 1487267142 | Mariah Smart | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-24 |
| 1205447802 | Maira Dawood | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-17 |
| 1083224356 | Joseph Couche | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-03 |
| 1245857853 | Denise Strickland | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-06-30 |
| 1659997740 | Paige Verrastro | Occupational Therapy Assistant | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| 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 |
|---|---|---|---|---|
| 1558975904 | Theresa Patricia Blackwood | Speech-Language Pathologist | 446 Wiltshire Blvd, Port Orange, FL 32127-6026 | 2020-09-03 |
| 1609357193 | Dana Kaufman | Speech-Language Pathologist | 900 N Swallow Tail Dr Ste 107, Port Orange, FL 32129-6103 | 2018-08-23 |
| 1881185163 | Kelly Lynn Wozniak | Speech-Language Pathologist | 5517 Estero Loop, Port Orange, FL 32128-0006 | 2018-05-23 |
| 1184115560 | Kylie A Buatsi | Speech-Language Pathologist | 6140 Sequoia Dr, Port Orange, FL 32127-6761 | 2018-05-22 |
| 1760725170 | Carolyn Ann Hovey | Speech-Language Pathologist | 617 Amy Lee Cir, Port Orange, FL 32127-7542 | 2013-04-03 |
| 1932469061 | Caitlin Patricia Varga | Speech-Language Pathologist | 807 Banbury Dr, Port Orange, FL 32129-3752 | 2012-05-23 |
| 1518267046 | Corin M Miller | Speech-Language Pathologist | 4645 S Clyde Morris Blvd, Suite 407, Port Orange, FL 32129-3004 | 2010-11-01 |
| 1326228974 | Virginia Smith Wiley-sylvia | Speech-Language Pathologist | 4573 Miles Drive, Port Orange, FL 32127 | 2007-11-13 |
| 1922148451 | Ivonne Carmen Randolph | Speech-Language Pathologist | 5791 Falling Tree Ln, Port Orange, FL 32127-7993 | 2007-02-07 |
| 1689760977 | Lauren Birch | Speech-Language Pathologist | 4081 Clock Tower Drive, Port Orange, FL 32129-4518 | 2006-10-05 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
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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.