MALLORIE K SMITH (NPI# 1073864997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073864997 |
| Entity Type | Individual |
| Full Name | MALLORIE K SMITH |
| Other Name | MALLORIE K OLSON |
| Credential | AUD |
| Practice Address |
111 S 13th St Mount Vernon WA 98274-4105 |
| Mailing Address |
1400 E Kincaid St Mount Vernon WA 98274-4127 |
| Practice Telephone | 3603362178 |
| Practice Fax Number | 3603362642 |
| Mailing Telephone | 3608146451 |
| Mailing Fax Number | 3604458592 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | LD60675180 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE LICENSE NUMBER | LD60675180 | 01 |
| Street Address |
111 S 13TH ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326037052 | Daniel Mark Greenwald | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2005-10-15 |
| 1215368717 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2013-12-09 |
| 1073946794 | Ashley Fedan LLC | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2013-08-16 |
| 1992937825 | Anna Jane Knisely | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2009-08-11 |
| 1104073170 | Christopher Ray England | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-08-21 |
| 1679746721 | Second Generation Anesthesia, Inc | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-04-09 |
| 1073782454 | Barry Simmons | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-02-29 |
| 1518141282 | Terry L. Hergesheimer | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-12-18 |
| 1477677052 | Shonie Hannah | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-03-19 |
| 1740304336 | Suzanne E Jennings | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| 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 |
|---|---|---|---|---|
| 1700188182 | Michelle Marie Copeland | Audiologist | 1451 Yauger Rd Ste 1b, Mount Vernon, OH 43050-7906 | 2010-11-17 |
| 1538376710 | Robin Melissa Graham | Audiologist | 112 Harcourt Rd Ste 4, Mount Vernon, OH 43050-3944 | 2007-05-17 |
| 1255456588 | Mary Ann Wood | Audiologist | 118 S 12th St, Mount Vernon, WA 98274-4036 | 2007-03-19 |
| 1467479238 | Christy G. Naples | Audiologist | 122 E Vine St, Mount Vernon, OH 43050-3444 | 2006-07-16 |
| 1902466717 | Mckenna N Dowdell | Audiologist | 809 Coshocton Ave, Mount Vernon, OH 43050-1900 | 2019-06-14 |
| 1003215005 | Luna Healthcare LLC | Audiologist | 1810 E College Way, Ste. 110, Mount Vernon, WA 98273-2362 | 2014-08-15 |
| 1023428075 | Robin Dembeck | Audiologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2014-04-29 |
| 1861837056 | Scott Woodward Spence | Audiologist | 809 Coshocton Ave, Suite F, Mount Vernon, OH 43050-1900 | 2013-05-02 |
| 1255638789 | Katherine Ann Rooney | Audiologist | 600 N Main St, Mount Vernon, MO 65712-1004 | 2011-02-18 |
| 1518141282 | Terry L. Hergesheimer | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-12-18 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.