MICHELLE LYNN WIERSMA (NPI# 1871817429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871817429 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN WIERSMA |
| Credential | MS, CCC-SLP |
| Practice Address |
11900 Wayzata Blvd Ste 132 Minnetonka MN 55305-2018 |
| Mailing Address |
4101 Parklawn Ave Apt 120 Edina MN 55435-4660 |
| Practice Telephone | 9522366188 |
| Mailing Telephone | 6517695672 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 8402 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
11900 WAYZATA BLVD STE 132 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205262961 | Amy B Schulting | Psychologist | 11900 Wayzata Blvd Ste 132, Minnetonka, MN 55305-2018 | 2013-09-25 |
| 1699107839 | Kathryn O'connell, LLC | Community/Behavioral Health | 11900 Wayzata Blvd Ste 132, Minnetonka, MN 55305-2018 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| 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 |
|---|---|---|---|---|
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1194197541 | Rosemary Jost | Speech-Language Pathologist | 2000 Plymouth Rd Ste 220, Minnetonka, MN 55305-2382 | 2015-10-26 |
| 1730550922 | Pamela Lackram | Speech-Language Pathologist | 15265 Minnetonka Blvd, Minnetonka, MN 55345-1510 | 2015-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| 1588081517 | Colleen Kay O'brien Janssen | Speech-Language Pathologist | 5847 Bell Cir, Minnetonka, MN 55345-6211 | 2014-03-27 |
| 1265739916 | Laura Jean Egan | Speech-Language Pathologist | 4843 Ridge Rd, Minnetonka, MN 55345-3128 | 2011-02-15 |
| 1891010096 | Heidi Marie Pahl Tousignant | Speech-Language Pathologist | 11606 Wayzata Blvd, Minnetonka, MN 55305 | 2010-03-30 |
| 1891914412 | Sunnydays Therapy Inc | Speech-Language Pathologist | 15265 Minnetonka Boulevard, Minnetonka, MN 55345 | 2007-04-24 |
| 1225179955 | Karen Lynn Diaz | Speech-Language Pathologist | 13304 Loveland Cir, Minnetonka, MN 55305-2306 | 2007-02-08 |
| 1588720817 | Denise Lowe | Speech-Language Pathologist | 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 | 2006-12-29 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on MICHELLE LYNN WIERSMA.
| 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.