TARA WITTROCK (NPI# 1871906891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871906891 |
| Entity Type | Individual |
| Full Name | TARA WITTROCK |
| Other Name | TARA DETTLE |
| Credential | CCC/SLP |
| Practice Address |
407 E 3rd St Duluth MN 55805 |
| Mailing Address |
1702 University Dr S Fargo ND 58103-4940 |
| Practice Telephone | 2187864000 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9592 | MN | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1955 N Federal Hwy, Pompano Beach, FL 330621028 | 9545802520 |
| Street Address |
407 E 3RD ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293347 | Traci A. Rogers | Nurse Practitioner | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2005-05-27 |
| 1265039721 | Mark Nicholas Bloss | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-07 |
| 1679170278 | Paul R Jerve | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-06 |
| 1487280251 | Kara Michelle Nelson | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-12 |
| 1114552619 | Ivy A Kuschke | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-05 |
| 1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
| 1437707957 | Marissa L Engelson | Physician Assistant | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-28 |
| 1255987954 | Megan Mcgovern Colborn | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-18 |
| 1033764758 | Patrick E Finnegan | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-08 |
| 1699333658 | Olivia Ann Lambert | Speech-Language Pathologist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| 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 |
|---|---|---|---|---|
| 1497368310 | Israel Montano | Speech-Language Pathologist | 1521 N 9th Ave E, Duluth, MN 55805-1120 | 2020-08-29 |
| 1447873195 | Twt Speech Therapy LLC | Speech-Language Pathologist | 2255 Satellite Blvd Apt A303, Duluth, GA 30097-6245 | 2020-05-28 |
| 1821621889 | Ritu Walia | Speech-Language Pathologist | 1655 Centerview Dr Apt 313, Duluth, GA 30096-8918 | 2020-02-18 |
| 1104464932 | Andrea Robinson | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2500, Duluth, GA 30096-5047 | 2019-12-11 |
| 1841768512 | Talitha Mylia Jeffrey | Speech-Language Pathologist | 1335 Herrington Rd Apt 3322, Duluth, GA 30096-6431 | 2018-11-10 |
| 1790209880 | Debrienne Robinson | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2017-07-31 |
| 1962924506 | Caryn Kaasa | Speech-Language Pathologist | 5739 Sunburst Dr, Duluth, MN 55810-9552 | 2017-07-14 |
| 1396284246 | Valarie Beth Ostrander | Speech-Language Pathologist | 407 East Second Street, Essentia Health St Mary's Medical Center, Duluth, MN 55805-1950 | 2017-02-13 |
| 1023565603 | Elyse Marilee Mccoshen | Speech-Language Pathologist | Essentia Health St Mary's Medical Center, 407 East Third Street, Duluth, MN 55805-1950 | 2016-09-01 |
| 1073964813 | Teressa Haglin | Speech-Language Pathologist | 208 W Rainbow St, Duluth, MN 55811-2006 | 2016-06-23 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on TARA WITTROCK.
| 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.