TAI MICHELLE GORECKE (NPI# 1790138170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790138170 |
| Entity Type | Individual |
| Full Name | TAI MICHELLE GORECKE |
| Credential | M.S. |
| Practice Address |
1936 Opitz Blvd Woodbridge VA 22191-3360 |
| Practice Telephone | 7036875875 |
| Mailing Telephone | 7036875875 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202008253 | VA | Speech, Language and Hearing Service Providers |
| Street Address |
1936 OPITZ BLVD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447479373 | Richard T Olin | Family Medicine | 1936 Opitz Blvd, A, Woodbridge, VA 22191-3360 | 2007-04-25 |
| 1982214524 | Jennifer Lynn Atencio | Behavior Technician | 1936 Opitz Blvd, Woodbridge, VA 22191-3360 | 2020-08-07 |
| 1417504895 | Anne Amsler | Speech-Language Pathologist | 1936 Opitz Blvd, Woodbridge, VA 22191-3360 | 2019-08-21 |
| 1104487560 | Alyse May | Speech-Language Pathologist | 1936 Opitz Blvd, Woodbridge, VA 22191-3360 | 2019-06-26 |
| 1790346369 | Gifty Boadu | Occupational Therapy Assistant | 1936 Opitz Blvd, Woodbridge, VA 22191-3360 | 2019-06-25 |
| 1740795228 | Anita D Villines | Speech-Language Pathologist | 1936 Opitz Blvd, Woodbridge, VA 22191-3360 | 2017-12-06 |
| 1245601590 | Courtney Lynn Hughson | Speech-Language Pathologist | 1936 Opitz Blvd, Woodbridge, VA 22191 | 2015-10-13 |
| 1366715369 | Balaji Raghu Inc | Internal Medicine | 1936 Opitz Blvd, Suite A, Woodbridge, VA 22191-3360 | 2012-02-22 |
| 1306128558 | Paroni Gupta | Nurse Practitioner | 1936 Opitz Blvd, Suite A, Woodbridge, VA 22191-3360 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| 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 |
|---|---|---|---|---|
| 1710594940 | Madison Antus | Speech-Language Pathologist | 15201 Neabsco Mills Rd, Woodbridge, VA 22191-4005 | 2020-10-01 |
| 1790391126 | Professional Adult and School Age Speech Services, LLC | Speech-Language Pathologist | 15792 Beau Ridge Dr, Woodbridge, VA 22193-1028 | 2020-09-21 |
| 1467065334 | Jaclyn Jones | Speech-Language Pathologist | 17-2 Mettler St, Woodbridge, CT 06525-2249 | 2020-08-28 |
| 1568010296 | Alyssa Knight | Speech-Language Pathologist | 13446 Princedale Dr, Woodbridge, VA 22193-3941 | 2019-08-27 |
| 1528616281 | Joyce Schueftan | Speech-Language Pathologist | 13900 Lindendale Rd, Woodbridge, VA 22193-4314 | 2019-08-27 |
| 1316594526 | Kirnetta Trineice Pittman | Speech-Language Pathologist | 13199 Kerrydale Rd, Woodbridge, VA 22193-5015 | 2019-08-22 |
| 1043863137 | Adrienne Roland | Speech-Language Pathologist | 2201 York Dr, Woodbridge, VA 22191-2436 | 2019-07-18 |
| 1902459241 | Laura Gray Bartenstein | Speech-Language Pathologist | 12980 Queen Chapel Rd, Woodbridge, VA 22193-4561 | 2019-07-16 |
| 1881183515 | Jennifer Mangrum | Speech-Language Pathologist | 14100 Page St, Woodbridge, VA 22191-2608 | 2018-05-08 |
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.