KATELYN EIDENSCHINK (NPI# 1942751037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942751037 |
| Entity Type | Individual |
| Full Name | KATELYN EIDENSCHINK |
| Other Name | KATELYN ASWEGE |
| Practice Address |
415 4th St N Fargo ND 58102-4514 |
| Practice Telephone | 7014461000 |
| Mailing Telephone | 7014461000 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1532 | ND | Speech, Language and Hearing Service Providers |
| Street Address |
415 4TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477570497 | Fargo Public Schools | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2006-07-16 |
| 1851806764 | Gregory Joseph Pawlik | Occupational Therapy Assistant | 415 4th St N, Fargo, ND 58102-4514 | 2017-12-14 |
| 1154832269 | Teresa Ann Carbone | Occupational Therapy Assistant | 415 4th St N, Fargo, ND 58102-4514 | 2017-10-16 |
| 1669981502 | Eileen Bachmeier | Occupational Therapy Assistant | 415 4th St N, Fargo, ND 58102-4514 | 2017-09-22 |
| 1881116945 | Hilary Jean Zinke | Speech-Language Pathologist | 415 4th St N, Fargo Public Schools, Fargo, ND 58102 | 2017-07-11 |
| 1659814184 | Marina Culver | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2016-12-01 |
| 1073985966 | Stacey Pfaff | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2015-10-30 |
| 1184026718 | Megan Long | Occupational Therapist | 415 4th St N, Fargo, ND 58102-4514 | 2014-09-26 |
| 1952735060 | Andrea Holloway | Occupational Therapist | 415 4th St N, Fargo, ND 58102-4514 | 2013-08-26 |
| 1689948663 | Becky Ann Benson | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2012-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
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| 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 |
|---|---|---|---|---|
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| 1790145043 | Deanna Pinnow | Speech-Language Pathologist | 37 N Terrace N, Fargo, ND 58102-3815 | 2016-02-29 |
| 1154798577 | Aubrey Lynn Bergerson | Speech-Language Pathologist | 3700 54th St S, Fargo, ND 58104-7471 | 2015-09-02 |
| 1982088456 | Carrie Rice | Speech-Language Pathologist | 1220 Main Ave Ste 120, Fargo, ND 58103-8201 | 2015-07-15 |
| 1023416534 | Kids First Therapy, LLC | Speech-Language Pathologist | 1102 7th St S, Fargo, ND 58103-2712 | 2014-12-15 |
| 1083018790 | Sarah Jo Ring | Speech-Language Pathologist | 3002 25th Ave S, Fargo, ND 58103-5021 | 2014-10-09 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1306287610 | Mckenzie Lee | Speech-Language Pathologist | 1717 S University, Feeding Disorders 3rd Floor, Fargo, ND 58103 | 2013-07-15 |
| 1083051072 | Amanda Christine Walker | Speech-Language Pathologist | 3509 Interstate Blvd S, Suite B, Fargo, ND 58103-2200 | 2013-05-30 |
| 1801133806 | Whitney N Christie | Speech-Language Pathologist | 5550 44th Ave S, Fargo, ND 58104-4349 | 2013-01-10 |
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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.