DR. TERRY L MCILVAINE (NPI# 1043505233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043505233 |
| Entity Type | Individual |
| Full Name | DR. TERRY L MCILVAINE |
| Credential | AU.D. |
| Practice Address |
511 Renaissance Dr Suite 100 Saint Joseph MI 49085-2180 |
| Practice Telephone | 2699823444 |
| Practice Fax Number | 2699823445 |
| Mailing Telephone | 2699823444 |
| Mailing Fax Number | 2699823445 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000172 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
511 RENAISSANCE DR SUITE 100 |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991771 | Gyl A. Kasewurm | Audiologist | 511 Renaissance Dr, Ste 100, Saint Joseph, MI 49085-2180 | 2005-06-09 |
| 1922400951 | Anthony Meyer | Hearing Instrument Specialist | 511 Renaissance Dr, Suite 100, Saint Joseph, MI 49085-2180 | 2014-09-22 |
| 1750631511 | Abby Black | Dietitian, Registered | 511 Renaissance Dr, Suite 130, Saint Joseph, MI 49085-2180 | 2012-09-19 |
| 1811247679 | Ab Nutrition Solutions, LLC | Dietitian, Registered | 511 Renaissance Dr, Saint Joseph, MI 49085-2180 | 2012-09-19 |
| 1396703971 | Professional Hearing Services, Ltd | Audiologist | 511 Renaissance Dr, Ste 100, Saint Joseph, MI 49085-2180 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952962201 | Hannah Barclay Reeg | Audiologist | 511 Renaissance Dr Ste 100, Saint Joseph, MI 49085-2180 | 2019-06-27 |
| 1932615598 | Nitcher Mobile Audiology of Mo LLC | Audiologist | 3210 N Woodbine Rd Apt A, Saint Joseph, MO 64506-5049 | 2017-12-19 |
| 1730333774 | Pamela Shattuck Nelson | Audiologist | 2227 N Belt Hwy, Saint Joseph, MO 64506-2205 | 2008-11-04 |
| 1952425415 | Matthew F Lucas | Audiologist | 3715 Beck Rd Ste C307, Saint Joseph, MO 64506-3685 | 2007-03-19 |
| 1811991771 | Gyl A. Kasewurm | Audiologist | 511 Renaissance Dr, Ste 100, Saint Joseph, MI 49085-2180 | 2005-06-09 |
| 1376066712 | James Mangimelli | Audiologist | 5301 Faraon St Ste 160, Saint Joseph, MO 64506-3829 | 2017-07-18 |
| 1629443999 | Meredith Nitcher | Audiologist | 2227 N Belt Hwy, Saint Joseph, MO 64506-2205 | 2015-12-11 |
| 1497910822 | Angela J Bayton-langford | Audiologist | 5301 Faraon St, Suite 160, Saint Joseph, MO 64506-3512 | 2008-07-24 |
| 1699945493 | Cathleen A Burns | Audiologist | 2680 S Cleveland Ave, Saint Joseph, MI 49085-3002 | 2008-03-07 |
| 1851476873 | Sue Roesle | Audiologist | 5301 Faraon St, Suite 160, Saint Joseph, MO 64506-3373 | 2006-10-26 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.