MRS. KELLY ANNE RUCKERT


Address: 18500 Burnham Ave, Lansing, IL 60438-3046
Phone: 7085852110

MRS. KELLY ANNE RUCKERT (NPI# 1881104677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881104677
Entity Type Individual
Full Name MRS. KELLY ANNE RUCKERT
Credential MHS, CCC-SLP/L
Practice Address 18500 Burnham Ave
Lansing
IL 60438-3046
Mailing Address 1901 Azalea Dr
Munster
IN 46321-3408
Practice Telephone 7085852110
Mailing Telephone 7083345522
Enumeration Date 2017-10-05
Last Update Date 2017-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146.007953 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 18500 BURNHAM AVE
City LANSING
State IL
Zip Code 60438-3046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679998371 Brittany Mitacek Specialist/Technologist 18500 Burnham Ave, Lansing, IL 60438-3046 2014-03-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013429984 Gentle Touch Healthcare Services In Home Supportive Care 18236 Ridgewood, Lansing, IL 60438 2017-10-31
1336658699 Elizabeth M Cichocki Speech-Language Pathologist Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 2017-09-29
1023527595 Sue Hecht Speech-Language Pathologist 18300 Greenbay, Lansing, IL 60438 2017-09-27
1275960130 Senegal Enterprises Medical, Inc Durable Medical Equipment & Medical Supplies 3330 181st Place, Suite 103, Lansing, IL 60438 2013-10-08
1295062404 Dominion Home Health Care Inc. Home Health 2521 Ridge Road, Suite 4, Lansing, IL 60438 2009-11-09
1013076348 Wayne M Mrjenovich Dds PC Dentist 19111 Burnham Ave, Lansing, IL 60438 2006-12-06
1124198247 Jennifer Meyer Counselor 17041 Chicago Ave, Lansing, IL 60438 2006-11-08
1821171182 Nurse Coordinators & Home Health Home Health 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 2006-10-23
1275633133 Hoovers Home Health Inc Durable Medical Equipment & Medical Supplies 3326 Ridge Rd, Lansing, IL 60438 2006-09-22
1942307053 Brant T Molenaar Optometrist 3546 Ridge Road, Lansing, IL 60438 2006-09-20
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053937102 Tawni Klein Speech-Language Pathologist 701 Snow Rd Suite A, Lansing, MI 48917 2020-06-24
1356980783 Susan Anderson Speech-Language Pathologist 18535 Miller Dr, Lansing, IL 60438-3311 2020-01-02
1437700671 Lynne Lawton Speech-Language Pathologist 3915 Bayberry Ln, Lansing, MI 48911-6172 2019-09-27
1356992952 Kezia Mcallister Speech-Language Pathologist 1215 E Michigan Ave # 8w, Lansing, MI 48912-1811 2019-09-25
1093224362 Monique Fancher Speech-Language Pathologist 2101 182nd St, Lansing, IL 60438-1734 2017-09-29
1336658699 Elizabeth M Cichocki Speech-Language Pathologist Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 2017-09-29
1023527595 Sue Hecht Speech-Language Pathologist 18300 Greenbay, Lansing, IL 60438 2017-09-27
1538517271 Brittney Lynch Speech-Language Pathologist 17121 Roy St, Lansing, IL 60438-1377 2016-06-02
1437400785 Brittany Nicole Miller Scott Speech-Language Pathologist 2036 Silas Creek Rd, Lansing, NC 28643-9013 2012-09-26
1619238821 Madeline M Connor Speech-Language Pathologist 18509 Oakley Ave, Lansing, IL 60438-2816 2012-06-04
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Competitor

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City LANSING
Zip Code 60438

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Dataset Information

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.

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