KELSEY COALDRAKE (NPI# 1932629110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932629110 |
| Entity Type | Individual |
| Full Name | KELSEY COALDRAKE |
| Other Name | KELSEY KRUSE |
| Credential | MA CCC-SLP |
| Practice Address |
2570 106th St Ste E Urbandale IA 50322 |
| Mailing Address |
2826 147th St Urbandale IA 50323-2077 |
| Practice Telephone | 5154194270 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
2570 106TH ST STE E |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| 1174765002 | Roxi J Evans-guilloz | Physical Therapist | 9005 Oakwood Dr, Urbandale, IA 50322 | 2009-03-24 |
| Find all providers in zip 50322 | ||||
| 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 |
|---|---|---|---|---|
| 1982080693 | Lindsey Taylor | Speech-Language Pathologist | 4120 82nd St, Urbandale, IA 50322-2436 | 2015-08-04 |
| 1356738173 | Laura Martins | Speech-Language Pathologist | 4014 157th St, Urbandale, IA 50323-2232 | 2015-04-20 |
| 1700900545 | Andrea J Doggett | Speech-Language Pathologist | 8804 New York Ave, Urbandale, IA 50322-4230 | 2007-03-19 |
| 1457832271 | Ellyn Rachael Kammeyer | Speech-Language Pathologist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2018-08-29 |
| 1730384066 | Jessica Renae Dennis | Speech-Language Pathologist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263214 | Katia Burdick | Speech-Language Pathologist | 1315 Acacia Dr Ne, Cedar Rapids, IA 52402-6736 | 2020-10-23 |
| 1609489079 | Paige N Skinner | Speech-Language Pathologist | 1310 Country Club Rd, Indianola, IA 50125-1129 | 2020-08-26 |
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1831722479 | Sydney Rian Kunzweiler | Speech-Language Pathologist | 4301 Sergeant Rd Ste 215, Sioux City, IA 51106-4710 | 2020-02-21 |
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1508428673 | Sensory Kids Iowa | Speech-Language Pathologist | 754 Community Drive, Unit H, North Liberty, IA 52317 | 2019-06-28 |
| 1366901126 | Alayna Irene Spiece | Speech-Language Pathologist | 110 N Ankeny Blvd Ste 300, Ankeny, IA 50023-1756 | 2019-03-19 |
| 1801355110 | Linda Louise Mcneill | Speech-Language Pathologist | 2306 Hunter Rd, Bettendorf, IA 52722-6274 | 2019-03-16 |
| 1891269114 | Kimberly Sue Crowe | Speech-Language Pathologist | 2110 Ashland Ave, Cedar Falls, IA 50613-4606 | 2019-01-21 |
| 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.