MRS. JANA SUE WILDE (NPI# 1942598867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942598867 |
| Entity Type | Individual |
| Full Name | MRS. JANA SUE WILDE |
| Other Name | MRS. JANA SUE SIMON |
| Credential | M.S.,CCC,SLP |
| Practice Address |
5610 Town Center Dr Apt. # 14 Granger IN 46530-4419 |
| Practice Telephone | 6309155936 |
| Mailing Telephone | 6309155936 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22004409A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
5610 TOWN CENTER DR APT. # 14 |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| 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 |
|---|---|---|---|---|
| 1730788365 | Katherine Mavis Greene | Speech-Language Pathologist | 14234 Shoreline Dr, Granger, IN 46530-4849 | 2020-10-24 |
| 1033644513 | Elizabeth Selge | Speech-Language Pathologist | 15635 Arthur St, Granger, IN 46530-7341 | 2017-04-21 |
| 1154780898 | Amy Mason | Speech-Language Pathologist | 51950 Hazel Rd, Granger, IN 46530-9268 | 2016-02-22 |
| 1750774758 | Michele Butcher | Speech-Language Pathologist | 50668 Tumbleweed Trl, Granger, IN 46530-9147 | 2015-03-15 |
| 1306136841 | Amy Wolfe Knauff | Speech-Language Pathologist | 17351 Post Tavern Rd, Granger, IN 46530-9262 | 2011-04-18 |
| 1922237940 | Jane E Beachy | Speech-Language Pathologist | 50650 King Richards Way, Granger, IN 46530-7572 | 2009-07-12 |
| 1861621518 | Corinne D. Stogdill | Speech-Language Pathologist | 15546 State Road 23, Granger, IN 46530-9646 | 2009-07-02 |
| 1811152309 | Amber Marie Foley | Speech-Language Pathologist | 53067 Prestwick Ct, Granger, IN 46530-5855 | 2008-07-23 |
| 1659536415 | Mary Jo Canaday | Speech-Language Pathologist | 6910 N Main St Unit 10, Granger, IN 46530-9681 | 2008-07-22 |
| 1902005416 | Debra Deeann Midgley | Speech-Language Pathologist | 10490 Glen Lee Trl, Granger, IN 46530-9436 | 2007-07-13 |
| Find all providers in GRANGER | ||||
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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.