MR. NISANTH PANICKER (NPI# 1790944684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790944684 |
| Entity Type | Individual |
| Full Name | MR. NISANTH PANICKER |
| Credential | M.S.,CCC-SLP |
| Practice Address |
920 12th Ave Se Puyallup WA 98372-4920 |
| Practice Telephone | 2538413422 |
| Practice Fax Number | 2064454043 |
| Mailing Telephone | 2538413422 |
| Mailing Fax Number | 2064454043 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | LL00004115 | WA | Speech, Language and Hearing Service Providers |
| Street Address |
920 12TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740327279 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 920 12th Ave Se, Puyallup, WA 98372 | 2007-02-01 |
| 1407271430 | Wildwood Healthcare, Inc. | Skilled Nursing Facility | 920 12th Ave Se, Puyallup, WA 98372-4920 | 2014-02-27 |
| 1730348723 | Mylene Foster | Physical Therapist | 920 12th Ave Se, Puyallup, WA 98372-4920 | 2008-06-04 |
| 1053570259 | Amrita Nambiar | Speech-Language Pathologist | 920 12th Ave Se, Puyallup, WA 98372-4920 | 2008-06-03 |
| 1306005517 | Dawn Michele Levine | Occupational Therapy Assistant | 920 12th Ave Se, Puyallup, WA 98372-4920 | 2008-06-03 |
| 1407014566 | Breena Sue Hirsch | Physical Therapy Assistant | 920 12th Ave Se, Puyallup, WA 98372-4920 | 2008-05-27 |
| 1710144241 | Karin Rae Cummings | Occupational Therapy Assistant | 920 12th Ave Se, Puyallup, WA 98372-4920 | 2008-05-21 |
| 1366609026 | William Raymond Pyle | Physical Therapy Assistant | 920 12th Ave Se, Puyallup, WA 98372-4920 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| 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 |
|---|---|---|---|---|
| 1831554641 | Odyssey Therapeutics | Speech-Language Pathologist | 15111 105th Avenue Ct E, Ste. 2, Puyallup, WA 98374-3747 | 2015-12-21 |
| 1699157206 | Stepping Stones Spech and Language Therapy, LLC | Speech-Language Pathologist | 310 N Meridian Ste 208, Puyallup, WA 98371-8644 | 2015-06-19 |
| 1962882134 | Sadet Scott | Speech-Language Pathologist | 10324 Canyon Rd E Ste 203, Puyallup, WA 98373-1013 | 2015-06-03 |
| 1972909034 | Julie Harding | Speech-Language Pathologist | 2323 39th Ave Se, Puyallup, WA 98374-2306 | 2014-11-17 |
| 1427459718 | Angela Schmitz | Speech-Language Pathologist | 421 4th Ave Ne, Puyallup, WA 98372-3050 | 2014-09-05 |
| 1912330341 | Brandy L Tate | Speech-Language Pathologist | 3005 E Main, Apt H5, Puyallup, WA 98372-3108 | 2013-08-21 |
| 1205271731 | Melinda Sidor | Speech-Language Pathologist | 3508 22nd St Se, Puyallup, WA 98374-4106 | 2013-05-10 |
| 1114261864 | Renae Dina Green | Speech-Language Pathologist | 8722 119th Street Ct E, Puyallup, WA 98373-7974 | 2012-11-19 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1316256183 | Shannon F Mclaughlin | Speech-Language Pathologist | 402 15th Ave Se; #100, Puyallup, WA 98372 | 2010-09-28 |
| Find all providers in PUYALLUP | ||||
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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.