MS. KIMBERLY ANN WAHL (NPI# 1790295921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790295921 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ANN WAHL |
| Credential | MA, CCC-SLP |
| Practice Address |
1301 Springdale Cir Naperville IL 60564-8729 |
| Mailing Address |
6 Winrock Rd Montgomery IL 60538-2129 |
| Practice Telephone | 6304286062 |
| Mailing Telephone | 8478991142 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295063 | Kimberly Wahl | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-04 |
| 1700267994 | Kimberly Wahl | Nurse Practitioner | 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 | 2015-06-12 |
| 1366730921 | Kimberly Rae Wahl | Pharmacist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2011-07-18 |
| Street Address |
1301 SPRINGDALE CIR |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-8729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| 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 |
|---|---|---|---|---|
| 1396360418 | Elizabeth Grubich | Speech-Language Pathologist | 25w374 Mayflower Ave, Naperville, IL 60540-3513 | 2020-06-15 |
| 1194340166 | Megan Vander Ploeg | Speech-Language Pathologist | 1331 W 75th St Ste 102, Naperville, IL 60540-9311 | 2020-06-15 |
| 1902421514 | Courtney Coates | Speech-Language Pathologist | 1509 Terrance Dr, Naperville, IL 60565-4105 | 2020-06-09 |
| 1730700311 | Jaidan Barton | Speech-Language Pathologist | 990 Fairway Dr Apt 204, Naperville, IL 60563-1040 | 2020-05-05 |
| 1841842408 | Sonia Dayal-boyce | Speech-Language Pathologist | 3003 103rd St, Naperville, IL 60564-8000 | 2019-07-14 |
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083272926 | Jennifer L Perruquet | Speech-Language Pathologist | 3220 Cedar Glade Dr, Naperville, IL 60564-8560 | 2019-06-05 |
| 1003375353 | Judith Anne Lawlor | Speech-Language Pathologist | 2652 Haddassah Dr, Naperville, IL 60565-3068 | 2019-03-17 |
| 1881171569 | Juliana G Marks | Speech-Language Pathologist | 5335 Coneflower Dr, Naperville, IL 60564-5343 | 2018-07-25 |
| 1710463864 | Lena Grace Smith | Speech-Language Pathologist | 1316 Bond St Ste 116, Naperville, IL 60563-6526 | 2018-07-12 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
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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.