JANE PARK (NPI# 1861622433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861622433 |
| Entity Type | Individual |
| Full Name | JANE PARK |
| Credential | CCC-SLP |
| Practice Address |
550 Glenwood Dr Mooresville NC 28115-2876 |
| Mailing Address |
14711 Peridot Ct Pineville NC 28134-9369 |
| Practice Telephone | 7046647494 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 12133792 | NC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974122 | Jane Gerke Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-07 |
| 1790267722 | Jane Chung Park | Marriage & Family Therapist | 3727 W 6th St Ste 320, Los Angeles, CA 90020-5108 | 2018-09-06 |
| 1447741368 | Jane Park | Student in an Organized Health Care Education/Training Program | 376 Seguine Ave, Staten Island, NY 10309-3942 | 2018-05-25 |
| 1104323047 | Jane Park | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-04-08 |
| 1528448131 | Jane Park | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2015-06-09 |
| 1194125757 | Jane Park | Pharmacist | 1739 S Victoria Ave, Ventura, CA 93003-6503 | 2014-09-01 |
| 1700211893 | Jane S Park | Pharmacist | 35 Kensico Rd, Walgreens, Thornwood, NY 10594-1143 | 2013-09-07 |
| 1447699327 | Jane Haejin Park | Marriage & Family Therapist | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2013-06-24 |
| 1790129898 | Jane J Park | Internal Medicine | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2013-04-19 |
| 1134461411 | Jane Park | Student in an Organized Health Care Education/Training Program | 2351 Clay St, Suite 380, San Francisco, CA 94115-1931 | 2013-03-25 |
| Street Address |
550 GLENWOOD DR |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881639979 | Mooresville Center, LLC | Assisted Living Facility | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2006-06-20 |
| 1265064414 | Vitae Health Medical North Carolina, Pllc | Internal Medicine | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2020-02-06 |
| 1699313544 | The Citadel Mooresville LLC | Respite Care | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2019-12-11 |
| 1750877858 | Sydney Wilson Wike | Occupational Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2018-07-02 |
| 1366807869 | Cassandra Leazer | Physical Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2015-12-28 |
| 1336520923 | Kathryn Archer | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2015-06-09 |
| 1164826632 | Valerie Biele | Physical Therapist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2014-10-13 |
| 1821402223 | Kaitlyn Kimrey | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2014-06-13 |
| 1932533387 | Amy Carolyn Bullard | Occupational Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-08-21 |
| 1699115568 | Allison Lindsey Ruff | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| 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 |
|---|---|---|---|---|
| 1063051670 | Euphony Speech and Orofacial Myology, Pllc | Speech-Language Pathologist | 129 Swamp Rose Dr, Mooresville, NC 28117-7587 | 2019-12-30 |
| 1316459894 | Lacey Elizabeth Steger | Speech-Language Pathologist | 175 Carriage Club Dr Apt 7-207, Mooresville, NC 28117-9073 | 2017-10-24 |
| 1114476462 | Leeanne Brown | Speech-Language Pathologist | 122 S Gibbs Rd, Mooresville, NC 28117-5977 | 2016-09-28 |
| 1124574140 | Pamela Susan Manser | Speech-Language Pathologist | 111 Sago Ln, Mooresville, NC 28117-4369 | 2016-08-30 |
| 1467908368 | Lake Norman Communication Services, Inc. | Speech-Language Pathologist | 249 Williamson Rd Ste 102, Mooresville, NC 28117-6863 | 2016-08-30 |
| 1710339189 | Sarah Robbins Floyd | Speech-Language Pathologist | 164 Galway Dr, Apt#14, Mooresville, NC 28117-7126 | 2016-07-08 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1932508835 | Nikki Bolick | Speech-Language Pathologist | 170 Mooresville Commons Way, Mooresville, NC 28117 | 2014-08-15 |
| 1164838983 | Nicole Gross | Speech-Language Pathologist | 161 Village View Drive, Suite 403, Mooresville, NC 28117 | 2014-07-02 |
| 1669883195 | Stacy L Passmore | Speech-Language Pathologist | 142 Scotland Dr, Mooresville, NC 28115-7962 | 2014-05-19 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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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.