JACQUELINE MARIE VANDERBILT (NPI# 1649597402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649597402 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE VANDERBILT |
| Other Name | JACQUELINE MARIE ASSAL |
| Credential | MS, CCC-SLP |
| Practice Address |
155 Baker House Trent Dr Durham NC 27710-0001 |
| Mailing Address |
Po Box 3887 Durham NC 27710-0001 |
| Practice Telephone | 9196846271 |
| Mailing Telephone | 9196846271 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2015-05-06 |
| 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 |
155 BAKER HOUSE TRENT DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508069667 | Amanda B Guillois | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2007-06-07 |
| 1508257486 | Ashley Edds | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2015-02-12 |
| 1851798102 | Deborah Ruth Mcmechan | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2014-12-02 |
| 1720403975 | Hannah Heet | Audiologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2014-02-25 |
| 1396175451 | Julie Marie Kane Garris | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710 | 2013-11-26 |
| 1013349596 | Virginia Edwards | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2013-08-06 |
| 1578900957 | Jaimie Lynn Jones | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2013-05-27 |
| 1861737587 | Cynthia Joy Murashima | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2012-12-06 |
| 1003162124 | Ellen Liverman Brown | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2012-07-26 |
| 1396091633 | Yana M Gassel | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2012-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| 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 |
|---|---|---|---|---|
| 1528667714 | Evans Avt Pllc | Speech-Language Pathologist | 8 Brynhurst Ct, Durham, NC 27713-9357 | 2020-10-20 |
| 1467050443 | Speech Therapy & Allied Resources, Pllc | Speech-Language Pathologist | 1105 Englewood Ave, Durham, NC 27701-1125 | 2020-10-13 |
| 1700493509 | John Wilson Irwin | Speech-Language Pathologist | 19 Saint James Ct, Durham, NC 27713-9408 | 2020-09-25 |
| 1972119048 | Savikaluck Risza Konkankit | Speech-Language Pathologist | 1010 Stillwell Dr Unit 2401, Durham, NC 27707-6279 | 2020-09-23 |
| 1548870157 | Jessikah Grossman Manganello | Speech-Language Pathologist | 1531 S Roxboro St, Durham, NC 27707-2359 | 2020-08-07 |
| 1346850435 | Rebecca Caroline Wellons | Speech-Language Pathologist | 1600 Anderson St Apt C10, Durham, NC 27707-1458 | 2020-08-04 |
| 1750905493 | Playba, Pllc | Speech-Language Pathologist | 405 Everett Pl, Durham, NC 27701-1210 | 2020-05-28 |
| 1750910782 | Megan Nicole Ocampo | Speech-Language Pathologist | 5420 Mccormick Rd, Durham, NC 27713-2902 | 2020-04-02 |
| 1043847478 | Anne Eiseman | Speech-Language Pathologist | 37 Ffrost Dr, Durham, NH 03824-3107 | 2020-03-25 |
| 1336770700 | Whitney Demuro | Speech-Language Pathologist | Duke University & Health 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2020-02-04 |
| Find all providers in DURHAM | ||||
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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.