MRS. VICKI JO BURKE (NPI# 1669515821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669515821 |
Entity Type | Individual |
Full Name | MRS. VICKI JO BURKE |
Credential | MS CCC L |
Practice Address |
2300 N Edward St Decatur IL 62526-4163 |
Practice Telephone | 2178768121 |
Practice Fax Number | 2178762261 |
Mailing Telephone | 2178768121 |
Mailing Fax Number | 2178762261 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619225414 | Vicki Samuels Burke | Dietitian, Registered | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2012-08-28 |
Street Address |
2300 N EDWARD ST |
City | DECATUR |
State | IL |
Zip Code | 62526-4163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104829886 | Tansel Turgut | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2005-05-24 |
1215538004 | Jordanna Ruth Wilton | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2020-11-06 |
1366054116 | Stephanie Nicole Blaha | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-08-21 |
1861028193 | Angelina Marie Thomas | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-03-18 |
1114550944 | Chelsey M Clark | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-02-20 |
1942857735 | Jessica Oranika | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-26 |
1003463225 | Jason Grauer | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2019-08-22 |
1780239434 | Maggie Kaye Matthews | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-08 |
1871052522 | Michelle Caroline Kronmiller | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-03-12 |
1013474097 | Brittney L Jeffery | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-02-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
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 |
---|---|---|---|---|
1366074577 | Amanda Peeler | Speech-Language Pathologist | 2176 Loring Ct, Decatur, GA 30032-5666 | 2020-02-05 |
1043855331 | Speak Wonders | Speech-Language Pathologist | 2639 Glenvalley Dr, Decatur, GA 30032-4224 | 2019-11-11 |
1841761319 | Carmen Mustelier | Speech-Language Pathologist | 1635 Heatherwood Dr, Decatur, GA 30033-1706 | 2018-12-10 |
1477030203 | Emily J Bowen | Speech-Language Pathologist | 1400 Church St Apt G, Decatur, GA 30030-1525 | 2018-07-24 |
1023595006 | Lisa Mary Presti | Speech-Language Pathologist | 501 Alden Dr, Decatur, GA 30030-3320 | 2018-07-23 |
1679064166 | Courtney Madison Floyd | Speech-Language Pathologist | 4153 Flat Shoals Pkwy # 300a, Decatur, GA 30034-4106 | 2018-05-21 |
1104321124 | Alexandra Pope | Speech-Language Pathologist | 262 Maxwell St, Decatur, GA 30030-4209 | 2018-03-30 |
1740796556 | Cheryl Lynn Remmert | Speech-Language Pathologist | 955 N Illinois St, Decatur, IL 62521-1427 | 2017-12-17 |
1346754553 | Tammye O'brien | Speech-Language Pathologist | 2724 Wesley Chapel Rd Unit 361511, Decatur, GA 30036-2357 | 2017-11-27 |
1366954026 | Jane Anne Innis | Speech-Language Pathologist | 1499 W Main St, Decatur, IL 62522-1909 | 2017-11-02 |
Find all providers in DECATUR |
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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.