AUDRA L JOLDERSMA (NPI# 1952674111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952674111 |
| Entity Type | Individual |
| Full Name | AUDRA L JOLDERSMA |
| Credential | M.S.CCC-SLP |
| Practice Address |
2400 College Ave Goshen IN 46528-5010 |
| Practice Telephone | 5745330351 |
| Mailing Telephone | 5745330351 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22003015A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
2400 COLLEGE AVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46528-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321669 | Americare Living of Goshen | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2005-07-26 |
| 1447687868 | Jacqueline L Stephens | Occupational Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2013-09-30 |
| 1437415452 | Jennifer R Stabler | Occupational Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2012-04-03 |
| 1467728899 | Sheila Kay Owens | Occupational Therapy Assistant | 2400 College Ave, Goshen, IN 46528-5010 | 2012-03-29 |
| 1639479108 | Courtyard Rehabilitation Center, Inc | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2010-10-29 |
| 1801121280 | Shubhanshu Saxena | Physical Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2009-10-02 |
| 1952550113 | Oluwakemi Gbemisola Bond | Physical Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2008-09-12 |
| 1013176742 | Mary Josephine Smith | Occupational Therapy Assistant | 2400 College Ave, Goshen, IN 46528-5010 | 2008-06-06 |
| 1558520627 | Pamela Ann Spohr | Occupational Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2008-06-04 |
| 1639338874 | Nicole Marie Sieg | Physical Therapy Assistant | 2400 College Ave, Goshen, IN 46528-5010 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981140 | Brett Dyer | Nurse Anesthetist, Certified Registered | 20208 Deer Path Ct., Goshen, IN 46528 | 2015-05-08 |
| 1831490275 | Renee Danielle Gilligan | Physical Therapy Assistant | 57078 Appaloosa Court, Goshen, IN 46528 | 2010-11-16 |
| 1760620090 | Lisa A Levin | Social Worker | 330 Lakeview Drive, Goshen, IN 46528 | 2009-01-23 |
| 1346319290 | Martin's Super Market | Pharmacy | 1527 Bashor Road, Goshen, IN 46528 | 2006-11-07 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1336196591 | Carolin K. Marzouk | Nurse Practitioner | 213 Middlebury Street, Goshen, IN 46528 | 2006-05-31 |
| 1235185513 | Open and Wide Mri LLC | Radiology | 2856 Eisenhower Dr N., Suite 1, Goshen, IN 46528 | 2006-05-26 |
| 1407341233 | Leah Kathryn Richardson | Registered Nurse | 213 Middlebury St, Goshen, IN 46528 | 2018-06-25 |
| 1619324126 | Rebecca E Johnson | Registered Nurse | 808 N 3rd St, Goshen, IN 46528 | 2016-05-16 |
| 1861850695 | Gerardo Diaz | Nurse Practitioner | 808 N 3rd St, Goshen, IN 46528 | 2016-02-08 |
| Find all providers in zip 46528 | ||||
| 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 |
|---|---|---|---|---|
| 1821695115 | Caitlin G Sears | Speech-Language Pathologist | 1640 Autumn Blaze Ln, Goshen, IN 46526-7000 | 2020-10-08 |
| 1932711363 | Ann G Perkins | Speech-Language Pathologist | 1701 Longwood Cir, Goshen, KY 40026-8410 | 2020-08-18 |
| 1225654809 | Putt Pediatric Speech and Language Therapy, LLC | Speech-Language Pathologist | 57657 Boulder Ct, Goshen, IN 46528-7860 | 2020-06-19 |
| 1073138657 | Krystina Mckane | Speech-Language Pathologist | 105 N Greene Rd, Goshen, IN 46526-1520 | 2020-06-10 |
| 1457856726 | Sasha Ramlochan | Speech-Language Pathologist | 142 Broadlea Rd, Goshen, NY 10924-5238 | 2018-03-28 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1902358740 | Angela Eileen Eppert | Speech-Language Pathologist | 67354 Stanton Dr, Goshen, IN 46526-5549 | 2016-10-27 |
| 1548622210 | Speechwise Slp Pllc | Speech-Language Pathologist | 4 Hampton Rd, Goshen, NY 10924-6923 | 2016-03-22 |
| 1740662550 | Rachel Jordan | Speech-Language Pathologist | 32 Yankee Maid Ln, Goshen, NY 10924-2616 | 2015-06-29 |
| 1922410547 | Carrie Boyd | Speech-Language Pathologist | 6692 Goshen Rd, Goshen, OH 45122-9273 | 2014-06-02 |
| Find all providers in GOSHEN | ||||
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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.