MRS. BRIGITTE CORINNE WATTERS (NPI# 1790091726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790091726 |
| Entity Type | Individual |
| Full Name | MRS. BRIGITTE CORINNE WATTERS |
| Other Name | MS. BRIGITTE CORINNE BORCUTA |
| Credential | SLP |
| Practice Address |
509 N Adelaide St Normal IL 61761-2422 |
| Mailing Address |
2621 15th Ave So Great Falls MT 59405 |
| Practice Telephone | 3094527468 |
| Mailing Telephone | 4064555902 |
| Mailing Fax Number | 4064554147 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.015124 | IL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 2363 | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2621 15th Ave So, Great Falls, MT 59405 | 4064555902 | 4064554147 |
| Street Address |
509 N ADELAIDE ST |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281979 | Heritage Manor Normal, LLC | Durable Medical Equipment & Medical Supplies | 509 N Adelaide St, Normal, IL 61761-2422 | 2005-10-28 |
| 1073991402 | Kimberly Hubert | Physical Therapy Assistant | 509 N Adelaide St, Normal, IL 61761-2422 | 2015-05-18 |
| 1225447246 | Casey Moore | Physical Therapy Assistant | 509 N Adelaide St, Normal, IL 61761-2422 | 2014-08-04 |
| 1528403631 | Aubree Cottone | Speech-Language Pathologist | 509 N Adelaide St, Normal, IL 61761-2422 | 2013-05-02 |
| 1841534625 | Heritage Manor - Normal | Durable Medical Equipment & Medical Supplies | 509 N Adelaide St, Normal, IL 61761-2422 | 2012-11-19 |
| 1366560864 | Noel Y Gerongay | Physical Therapist | 509 N Adelaide St, Normal, IL 61761-2422 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| 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 |
|---|---|---|---|---|
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| 1063991792 | Emily Hallstein | Speech-Language Pathologist | 211 Rachel Cooper, Normal, IL 61790-0001 | 2018-08-13 |
| 1194243063 | Sue Ann Blankenship | Speech-Language Pathologist | 919 S Linden St, Normal, IL 61761-3730 | 2017-08-31 |
| 1831648484 | Shelly King | Speech-Language Pathologist | 219 Concord Dr, Normal, IL 61761-2754 | 2016-09-23 |
| 1952764631 | Morgan Leigh Norkiewicz | Speech-Language Pathologist | 201 Park Drag Ln, Normal, IL 61761-4850 | 2016-03-31 |
| 1053781278 | Katie Terese Mueller | Speech-Language Pathologist | 1606 Hunt Dr Ste 1a, Normal, IL 61761-6185 | 2015-09-30 |
| 1235528555 | Neha Kakkar Varma | Speech-Language Pathologist | 3522 Silverado Trl, Normal, IL 61761-9535 | 2015-01-12 |
| 1700293818 | Katherine Marie Stuepfert | Speech-Language Pathologist | 19 Lateer Dr, Normal, IL 61761-3925 | 2014-07-21 |
| 1295142982 | Beth Rooker | Speech-Language Pathologist | 1611 Budig Dr, Normal, IL 61761-2348 | 2014-07-15 |
| 1821411398 | Madelyn Jeffers | Speech-Language Pathologist | 706 Oglesby Ave Ste 200, Normal, IL 61761-6430 | 2014-02-03 |
| Find all providers in NORMAL | ||||
Please comment or provide details below to improve the information on MRS. BRIGITTE CORINNE WATTERS.
| 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.