KAIDE LYNN JACKSTADT (NPI# 1801365754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801365754 |
| Entity Type | Organization |
| Organization Name | KAIDE LYNN JACKSTADT |
| Practice Address |
189 E Us Highway 40 Ste D Troy IL 62294-2267 |
| Practice Telephone | 6184203999 |
| Mailing Telephone | 6184203999 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | KAIDE JACKSTADT (SLP/OWNER) |
| Authorized Official Telephone | 6184203999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
189 E US HIGHWAY 40 STE D |
| City | TROY |
| State | IL |
| Zip Code | 62294-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194013771 | Jennifer Wildhaber | Counselor | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2011-07-15 |
| 1306316492 | New Beginnings Counseling Services, LLC | Clinic/Center | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-11-30 |
| 1194206607 | Diona Ranee Shelton | Social Worker | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-08-22 |
| 1194233114 | Tracy Lewis | Social Worker | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
| 1194056093 | Carol Ann Slazinik | Nurse Anesthetist, Certified Registered | 8634 Blackjack Hollow Ln, Troy, IL 62294 | 2010-01-18 |
| 1083786248 | Andrea B. Shaw, Lcsw | Social Worker | 552 Edwardsville Road, Troy, IL 62294 | 2006-11-14 |
| 1457456923 | Kurt Dick James | Dentist | 550 Edwardsville Rd, Troy, IL 62294 | 2006-09-13 |
| 1992713846 | Rhonda Beth Hanser | Dentist | 334 Bargraves Blvd, Troy, IL 62294 | 2006-08-04 |
| 1487692430 | Deborah Lea Fowler Dixon Bross | Family Medicine | 301 Edwardsville Road, Troy, IL 62294 | 2006-06-03 |
| 1225081052 | Patricia Ellen Miller | Pharmacist | 101 E Market, Troy, IL 62294 | 2006-05-19 |
| 1174576441 | Michael G Csaszar | Dentist | 7656 Plummer Business Drive, Troy, IL 62294 | 2006-05-18 |
| 1710946280 | Rodney L Lupardus | Family Medicine | 108 West Us Highway 40, Troy, IL 62294 | 2006-03-22 |
| 1992080774 | Larrah Lenn Duckworth | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294 | 2011-10-12 |
| Find all providers in zip 62294 | ||||
| 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 |
|---|---|---|---|---|
| 1609480516 | Now We're Talking Pllc | Speech-Language Pathologist | 3847 Kings Point Dr, Troy, MI 48083-5320 | 2020-09-08 |
| 1891308664 | Theresa Ann Dahmer | Speech-Language Pathologist | 5105 Somerton Dr, Troy, MI 48085-3252 | 2020-08-31 |
| 1336770577 | Bailey Shafer | Speech-Language Pathologist | 8294 Castle Ridge Dr, Troy, IL 62294-2860 | 2020-01-27 |
| 1629618236 | Karly Marie Chasney | Speech-Language Pathologist | 205 W Square Lake Rd, Troy, MI 48098-2931 | 2020-01-11 |
| 1497300586 | Jodi Niehoff | Speech-Language Pathologist | 1190 Old Cap Au Gris Rd, Troy, MO 63379-2300 | 2019-08-06 |
| 1548829039 | Jill Nicole Elliott | Speech-Language Pathologist | 59 Harris Rd Apt 103, Troy, NY 12182-1644 | 2019-06-10 |
| 1902462310 | Monica S Marciniak | Speech-Language Pathologist | 830 Kirts Blvd # 305, Troy, MI 48084-4892 | 2019-05-13 |
| 1205330941 | Marcia Diane Exner | Speech-Language Pathologist | 5877 Livernois Rd Ste 101, Troy, MI 48098-3100 | 2018-03-19 |
| 1356843411 | Elizabeth Mikolajczak | Speech-Language Pathologist | 3756 Forge Dr, Troy, MI 48083-5640 | 2018-03-05 |
| 1619483922 | Lauren Williams | Speech-Language Pathologist | 174 Dogwood Ave, Troy, NC 27371-8528 | 2017-12-21 |
| Find all providers in TROY | ||||
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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.