KRISTEN DANIELLE WILSON (NPI# 1902118342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902118342 |
| Entity Type | Individual |
| Full Name | KRISTEN DANIELLE WILSON |
| Other Name | KRISTEN DANIELLE TAYLOR |
| Practice Address |
17958 W Brown St Progressive Therapy LLC Waddell AZ 85355-4151 |
| Mailing Address |
18537 W Onyx Ave Waddell AZ 85355-4446 |
| Practice Telephone | 6235355741 |
| Mailing Telephone | 4803307661 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP6787 | AZ | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | TSLP6787 | AZ | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18537 W Onyx Ave, Waddell, AZ 853554446 | 4803307661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548812274 | Kristen Nicole Wilson | Social Worker | 4900 Sw 46th Ct Apt 211, Ocala, FL 34474-6264 | 2019-07-12 |
| 1801452826 | Kristen Wilson | Registered Nurse | 10410 Ben Venue St, Crosby, TX 77532-7006 | 2019-05-15 |
| 1033687231 | Kristen Anne Wilson | Developmental Therapist | 5315 E 9th St, Indianapolis, IN 46219-4305 | 2018-11-06 |
| 1740549112 | Kristen Elizabeth Wilson | Licensed Practical Nurse | 2971 5th Ave, Huntington, WV 25702-1407 | 2012-05-04 |
| 1396975025 | Kristen E. Wilson | Speech-Language Pathologist | 6520 Nw 57th Ln, Parkland, FL 33067-4454 | 2009-07-15 |
| 1295989440 | Kristen Wilson | Psychologist | 1985 Saginaw St S, Salem, OR 97302-5235 | 2008-11-13 |
| 1902419161 | Kristen Wilson | Counselor | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2020-08-27 |
| 1780294900 | Kristen Elizabeth Wilson | Social Worker | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2020-08-03 |
| 1235779497 | Kristen E Wilson | Psychologist | 2237 Ridge Rd Ste 101, Rockwall, TX 75087-5161 | 2020-01-15 |
| 1528567906 | Kristen Wilson | Occupational Therapist | 101 Cleveland Ave, Suite, Martinsville, VA 24112 | 2018-02-12 |
| Street Address |
17958 W BROWN ST PROGRESSIVE THERAPY LLC |
| City | WADDELL |
| State | AZ |
| Zip Code | 85355-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235307455 | Corrie Castelluccio | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2008-02-11 |
| 1578020285 | Shea Grant | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2019-02-28 |
| 1073015061 | Sarah Patricia Pratt | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2018-03-06 |
| 1417358870 | Brianna Dazzo | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2014-09-04 |
| 1336483072 | Maria R Villamar | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2012-11-19 |
| 1609181890 | Progressive Therapy L.L.C. | Occupational Therapist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295135432 | Jennifer Fowler | Psychologist | 6431 N 181st Ave, Waddell, AZ 85355 | 2014-08-25 |
| 1033272646 | Norma M Hernandez | Technician | 18220 West North Court, Waddell, AZ 85355 | 2006-12-18 |
| 1356885164 | Elite Assisted Living Home | Assisted Living Facility | 15928 W Ironwood Dr, Waddell, AZ 85355-2001 | 2016-12-13 |
| 1326377565 | Amber Marie Werner | Military Health Care Provider | 9603 N 179th Dr, Waddell, AZ 85355-4107 | 2009-12-17 |
| 1306259171 | Aaron Alvarez | Military Health Care Provider | 18026 W Carol Ave, Waddell, AZ 85355-4127 | 2014-06-09 |
| 1528607108 | Amie Raina Cooke | Nurse Practitioner | 18072 W Vogel Ave, Waddell, AZ 85355-4133 | 2019-12-31 |
| 1245878982 | Ndolia Noma Carew Schild | Counselor | 17949 W Purdue Ave, Waddell, AZ 85355-4143 | 2019-12-12 |
| 1477050615 | Robert Wayne | Orthotist | 18140 W Purdue Ave, Waddell, AZ 85355-4237 | 2018-04-12 |
| 1437308830 | Suzanne Patricia Coppola | Nurse Practitioner | 17946 W North Ln, Waddell, AZ 85355-4254 | 2008-09-10 |
| 1497036503 | Margaret Kathryn Maclachlan | Speech-Language Pathologist | 18302 W Burton Ave, C/o Mountain View Elementary, Waddell, AZ 85355-4275 | 2011-09-01 |
| Find all providers in zip 85355 | ||||
| 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 |
|---|---|---|---|---|
| 1750763298 | Tracy Moran | Speech-Language Pathologist | 18633 W Comet Ave, Waddell, AZ 85355-4453 | 2015-06-21 |
| 1497036503 | Margaret Kathryn Maclachlan | Speech-Language Pathologist | 18302 W Burton Ave, C/o Mountain View Elementary, Waddell, AZ 85355-4275 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072252 | Emiko J Smith | Speech-Language Pathologist | 3400 W Massingale Rd, Tucson, AZ 85741-1471 | 2020-11-01 |
| 1457959835 | Kristin Moore | Speech-Language Pathologist | 311 S Summit Ave, Prescott, AZ 86303-4115 | 2020-10-16 |
| 1043825383 | Alexis Roth | Speech-Language Pathologist | 932 W Chandler Blvd Ste 2, Chandler, AZ 85225-4518 | 2020-09-14 |
| 1992319974 | Traci Marie Jones | Speech-Language Pathologist | 16819 N 50th Way, Scottsdale, AZ 85254-1089 | 2020-09-07 |
| 1952914913 | Hannah Keziah Conrad | Speech-Language Pathologist | 802 W Murray Rd, Flagstaff, AZ 86001-1238 | 2020-08-28 |
| 1629689914 | Megan Tornabene | Speech-Language Pathologist | 5312 W Mountain View Rd, Glendale, AZ 85302-2202 | 2020-08-11 |
| 1508475146 | Meagan Louise Rushforth | Speech-Language Pathologist | 1350 N Lakeshore Dr, Chandler, AZ 85226-7200 | 2020-07-29 |
| 1043829880 | Micaela Nitzel | Speech-Language Pathologist | 545 N Horne, Mesa, AZ 85203-7124 | 2020-07-28 |
| 1376152199 | Charlotte Torma | Speech-Language Pathologist | 630 N Hunt Dr, Mesa, AZ 85203-6533 | 2020-07-28 |
| 1568071397 | Ashton Belew | Speech-Language Pathologist | 930 S Sirrine, Mesa, AZ 85210-3736 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
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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.