KELLYN WICKERT (NPI# 1780083097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780083097 |
| Entity Type | Individual |
| Full Name | KELLYN WICKERT |
| Credential | M.A.,CCC-SLP |
| Practice Address |
803 S 20th St Unionville MO 63565-1482 |
| Practice Telephone | 6609473361 |
| Practice Fax Number | 6609472912 |
| Mailing Telephone | 6609473361 |
| Mailing Fax Number | 6609472912 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2014025275 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
803 S 20TH ST |
| City | UNIONVILLE |
| State | MO |
| Zip Code | 63565-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063555365 | Putnam County R-i Schools | Physical Therapist | 803 S 20th St, Unionville, MO 63565-1482 | 2007-02-15 |
| 1114056371 | Kevin B Vorkink | Physical Therapist | 803 S 20th St, Putnam Co R-i School District, Unionville, MO 63565-1482 | 2007-03-05 |
| 1669501870 | Lee S Vorkink | Physical Therapist | 803 S 20th St, Putnam County R-i School District, Unionville, MO 63565-1482 | 2007-03-05 |
| 1255460481 | Kimberly S Knight | Speech-Language Pathologist | 803 S 20th St, Putnam County R-i School District, Unionville, MO 63565-1482 | 2007-03-05 |
| 1164551396 | Katherine A Krueger | Occupational Therapist | 803 S 20th St, Putnam County R-1 School District, Unionville, MO 63565-1482 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324519 | William A Heffron IIi | Chiropractor | 2808 Washington Street, Unionville, MO 63565 | 2006-02-09 |
| 1700085057 | Wa Heffron IIi Chiropractic Clinic Inc | Chiropractor | 2808 Washington Street, Unionville, MO 63565 | 2007-07-17 |
| 1063542330 | Putnam County Ambulance District | Ambulance | 2206 Putnam St, Unionville, MO 63565-1061 | 2007-03-06 |
| 1639385636 | Bristol Care, Inc. | Assisted Living Facility | 715 N 22nd St, Unionville, MO 63565-1142 | 2007-05-15 |
| 1609870195 | Putnam County Memorial Hospital | General Acute Care Hospital | 1926 Oak St, Unionville, MO 63565-1180 | 2005-06-13 |
| 1023631629 | David William Sinnwell | Pharmacist | 1926 Oak St, Unionville, MO 63565-1180 | 2020-05-19 |
| 1780213397 | Latisha Jo Richeson | Social Worker | 1926 Oak St, Unionville, MO 63565-1180 | 2020-04-06 |
| 1811455934 | Nathan Lynn Baughman | Nurse Practitioner | 1926 Oak St, Unionville, MO 63565-1180 | 2019-03-07 |
| 1871039917 | Elizabeth Allen | Nurse Practitioner | 1926 Oak St, Unionville, MO 63565-1180 | 2017-01-12 |
| 1629437926 | Alicia Vestal | Physical Therapy Assistant | 1926 Oak St, Unionville, MO 63565-1180 | 2016-02-15 |
| Find all providers in zip 63565 | ||||
| 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 |
|---|---|---|---|---|
| 1366975617 | Ashley Kalosieh | Speech-Language Pathologist | 11 Jules Ct, Unionville, CT 06085-1090 | 2017-04-04 |
| 1164977401 | Julie Weber | Speech-Language Pathologist | 3196 Gotham Rd, Unionville, MI 48767-9417 | 2016-08-16 |
| 1265831614 | Linda Tilton | Speech-Language Pathologist | 26514 Daniels Point Dr, Unionville, VA 22567-2946 | 2014-08-21 |
| 1659805885 | Speech Path, LLC | Speech-Language Pathologist | 11 Jules Ct, Unionville, CT 06085-1090 | 2017-04-14 |
| 1629438270 | Kali Kelso | Speech-Language Pathologist | 1814 Oak St, Unionville, MO 63565-1275 | 2016-02-24 |
| 1255460481 | Kimberly S Knight | Speech-Language Pathologist | 803 S 20th St, Putnam County R-i School District, Unionville, MO 63565-1482 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588421 | Mackenzie Depee | Speech-Language Pathologist | 263 Buccaneer Dr, Branson, MO 65616-9502 | 2020-11-08 |
| 1083215768 | Tracie Lee Beckmann | Speech-Language Pathologist | 731 Falcon Hill Trl, O Fallon, MO 63368-8194 | 2020-11-08 |
| 1518567494 | Bradley Huesgen | Speech-Language Pathologist | 3500 Oxford Blvd, Saint Louis, MO 63143-4209 | 2020-10-29 |
| 1679173793 | Demi Waggoner | Speech-Language Pathologist | 1015 W Macon St, Carthage, MO 64836-2938 | 2020-10-28 |
| 1053910422 | Serenity Speech and Language Therapy LLC | Speech-Language Pathologist | 8965 W Highway 116, Gower, MO 64454-8483 | 2020-10-18 |
| 1467051813 | Qiao Ying Li | Speech-Language Pathologist | 673 Cedar Run Dr, Ballwin, MO 63021-6207 | 2020-10-17 |
| 1952909715 | Makenzie Nicole Hackman | Speech-Language Pathologist | 4630 Brennan Rd, High Ridge, MO 63049-1801 | 2020-10-14 |
| 1205433992 | Karley Jo Smith | Speech-Language Pathologist | 12401 County Road 438, Country Club, MO 64505-3719 | 2020-10-06 |
| 1376140509 | Casey Claypool | Speech-Language Pathologist | 100 Dix Rd, Jefferson City, MO 65109-0962 | 2020-10-01 |
| 1083211213 | Brookelyn Schwartz | Speech-Language Pathologist | 325 Lewis and Clark Dr, Jefferson City, MO 65101-5586 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | UNIONVILLE |
| Zip Code | 63565 |
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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.