RITA J SIDEBOTTOM (NPI# 1982933743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982933743 |
| Entity Type | Individual |
| Full Name | RITA J SIDEBOTTOM |
| Credential | SLP |
| Practice Address |
701 N Oak St Stover MO 65078-0842 |
| Practice Telephone | 5733772217 |
| Practice Fax Number | 5733772211 |
| Mailing Telephone | 5733772217 |
| Mailing Fax Number | 5733772211 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |
| 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 |
701 N OAK ST |
| City | STOVER |
| State | MO |
| Zip Code | 65078-0842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901522 | Morgan County R-1 | Local Education Agency (LEA) | 701 N Oak St, Stover, MO 65078-0842 | 2019-09-19 |
| 1245707298 | Regional Health Care Clinic, Inc | Clinic/Center | 701 N Oak St, Stover, MO 65078-0842 | 2018-10-29 |
| 1548649346 | Geni Allison Harms | Social Worker | 701 N Oak St, Stover, MO 65078-0842 | 2015-05-26 |
| 1952655862 | Regional Health Care Clinic, Inc | Social Worker | 701 N Oak St, Stover, MO 65078-0842 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215906433 | Capital Region Medical Center | Family Medicine | 2nd Street and Oak, Stover, MO 65078 | 2006-03-17 |
| 1790770444 | Golden Age Nursing Home District | Skilled Nursing Facility | 404 E 3rd, Stover, MO 65078 | 2005-09-19 |
| 1326254319 | Bristol Care, Inc. | Assisted Living Facility | 607 W 4th St, Stover, MO 65078-0807 | 2007-05-15 |
| 1841697794 | Terrie Durbin | Physical Therapy Assistant | 404 E 3rd St, Stover, MO 65078-0947 | 2014-11-20 |
| 1477950459 | Sherri Broekemeier | Physical Therapy Assistant | 404 E 3rd St, Stover, MO 65078-0947 | 2014-11-19 |
| 1992052153 | Kayla Ann Davis | Occupational Therapy Assistant | 103 W 7th St, Stover, MO 65078-0972 | 2012-08-07 |
| 1942841903 | Regional Health Care Clinic, Inc. | Clinic/Center | 41569 Ivy Bend Rd, Stover, MO 65078-2177 | 2019-10-01 |
| 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 |
|---|---|---|---|---|
| 1710588421 | Mackenzie Depee | Speech-Language Pathologist | 263 Buccaneer Dr, Branson, MO 65616-9502 | 2020-11-08 |
| 1083215768 | Tracie Lee Beckmann | Speech-Language Pathologist | 731 Falcon Hill Trl, O Fallon, MO 63368-8194 | 2020-11-08 |
| 1518567494 | Bradley Huesgen | Speech-Language Pathologist | 3500 Oxford Blvd, Saint Louis, MO 63143-4209 | 2020-10-29 |
| 1679173793 | Demi Waggoner | Speech-Language Pathologist | 1015 W Macon St, Carthage, MO 64836-2938 | 2020-10-28 |
| 1053910422 | Serenity Speech and Language Therapy LLC | Speech-Language Pathologist | 8965 W Highway 116, Gower, MO 64454-8483 | 2020-10-18 |
| 1467051813 | Qiao Ying Li | Speech-Language Pathologist | 673 Cedar Run Dr, Ballwin, MO 63021-6207 | 2020-10-17 |
| 1952909715 | Makenzie Nicole Hackman | Speech-Language Pathologist | 4630 Brennan Rd, High Ridge, MO 63049-1801 | 2020-10-14 |
| 1205433992 | Karley Jo Smith | Speech-Language Pathologist | 12401 County Road 438, Country Club, MO 64505-3719 | 2020-10-06 |
| 1376140509 | Casey Claypool | Speech-Language Pathologist | 100 Dix Rd, Jefferson City, MO 65109-0962 | 2020-10-01 |
| 1083211213 | Brookelyn Schwartz | Speech-Language Pathologist | 325 Lewis and Clark Dr, Jefferson City, MO 65101-5586 | 2020-10-01 |
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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.