DEBRA GORDON (NPI# 1770914749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770914749 |
| Entity Type | Individual |
| Full Name | DEBRA GORDON |
| Credential | MS CCC SLP |
| Practice Address |
2555 West Blvd Belleville IL 62221-5525 |
| Practice Telephone | 6182223700 |
| Mailing Telephone | 6182223700 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.003962 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588981989 | Debra H Gordon | Speech-Language Pathologist | 3523 El Morro Dr, Baton Rouge, LA 70814-5216 | 2010-04-23 |
| 1922262740 | Debra Lee Gordon | Licensed Practical Nurse | 37 Wood Stone Rise, Pittsford, NY 14534-3668 | 2008-07-10 |
| 1003110065 | Debra Gordon | Dental Hygienist | 6601 S Rural Rd, Tempe, AZ 85283-3747 | 2011-01-05 |
| 1275858581 | Debra Ann Gordon | Physical Therapist | 2400 Chestnut Ave, Glenview, IL 60026-8321 | 2010-03-30 |
| 1699971598 | Debra S Gordon | Registered Nurse | 9660 S 1300 E, Sandy, UT 84094-3762 | 2007-06-26 |
| 1497810592 | Debra Lynne Gordon | Nurse Practitioner | 16337 Everhart Dr, Weed, CA 96094 | 2006-12-27 |
| Street Address |
2555 WEST BLVD |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620855 | Kacy Brown | Speech-Language Pathologist | 2555 West Blvd, Belleville, IL 62221 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| 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 |
|---|---|---|---|---|
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1275927279 | Landria Green, Pllc | Speech-Language Pathologist | 42861 Stratford Dr, Belleville, MI 48111-1729 | 2015-03-27 |
| 1376946400 | Chinetta Mcleod | Speech-Language Pathologist | 49143 Laguna Dr, Belleville, MI 48111-4969 | 2014-10-03 |
| 1932517109 | Sara Hedrick | Speech-Language Pathologist | 317 Weatherstone Dr, Belleville, IL 62221-5837 | 2014-07-31 |
| 1457775132 | Christine Carrier | Speech-Language Pathologist | 20 S 27th St, Belleville, IL 62226-6724 | 2014-02-14 |
| 1093139461 | Susan R Hilker | Speech-Language Pathologist | 700 W Cleveland Ave, Belleville, IL 62220-2465 | 2014-02-06 |
| 1619308699 | Brenda Kirk | Speech-Language Pathologist | 2465 Amann Dr, Belleville, IL 62220-3463 | 2013-12-02 |
| 1619308665 | Jeanna R Antrim | Speech-Language Pathologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2013-12-02 |
| 1831454172 | Ashlie Kristina Mitchell | Speech-Language Pathologist | 34 Ben Louis Dr, Belleville, IL 62226-5712 | 2012-07-12 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
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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.