SHANE FITZGERALD (NPI# 1669082657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669082657 |
| Entity Type | Individual |
| Full Name | SHANE FITZGERALD |
| Practice Address |
103 Commercial St Brockton MA 02302-3133 |
| Mailing Address |
223 Jefferson St Dedham MA 02026-5007 |
| Practice Telephone | 5085804691 |
| Mailing Telephone | 7816860637 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
103 COMMERCIAL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922332816 | Kathryn Doan | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2009-09-24 |
| 1841807252 | Allessandra Patrice Meandro | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-09-29 |
| 1699397828 | Ashley Lauren Kelly | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-05-11 |
| 1568097657 | Sabrina Georges | Behavioral Analyst | 103 Commercial St, Brockton, MA 02302-3133 | 2020-03-09 |
| 1427680347 | Gabriella Daniel | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2020-02-08 |
| 1598305542 | Kayli Marie Hamblin | Behavior Technician | 103 Commercial St, Brockton, MA 02302-3133 | 2020-01-07 |
| 1245892769 | Kristen Sampson | Psychologist | 103 Commercial St, Brockton, MA 02302-3133 | 2019-07-04 |
| 1275193781 | Brittany Wright | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2019-06-17 |
| 1538725759 | Taylor Nicole Bridges | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2019-05-13 |
| 1942767900 | Jessica Lee Darcy | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2019-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| 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 |
|---|---|---|---|---|
| 1083243729 | Ciara I Monteiro | Speech-Language Pathologist | 139 Linwood St, Brockton, MA 02301-5627 | 2020-04-05 |
| 1588187447 | Emilie Rose Lowell | Speech-Language Pathologist | 940 Belmont St Bldg 3, Brockton, MA 02301-5596 | 2017-07-24 |
| 1760547780 | Robin Dawn Holcomb | Speech-Language Pathologist | South Bay Early Intervention, 1115 West Chestnut St, Brockton, MA 02301 | 2006-12-27 |
| 1972162980 | Alexandra Leigh Breen | Speech-Language Pathologist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-06-12 |
| 1942784202 | Rachel Mary Wojnas | Speech-Language Pathologist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2018-09-21 |
| 1124509583 | Erin M O'regan | Speech-Language Pathologist | 215 Thatcher St, Brockton, MA 02302-3949 | 2018-08-23 |
| 1124528542 | Monica Cyra | Speech-Language Pathologist | 1115 W Chestnut St Ste 1, Brockton, MA 02301-7501 | 2018-02-13 |
| 1942720784 | Erin Osborne | Speech-Language Pathologist | 801 Pleasant St, Brockton, MA 02301-3052 | 2017-06-22 |
| 1144774431 | Lauren Pesta | Speech-Language Pathologist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2016-08-04 |
| 1518337526 | Katherine Clavette | Speech-Language Pathologist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2015-10-02 |
| Find all providers in BROCKTON | ||||
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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.