MS. LIZA M BUCKINGHAM (NPI# 1093050692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093050692 |
Entity Type | Individual |
Full Name | MS. LIZA M BUCKINGHAM |
Other Name | MS. LIZA M BUTTON BONNER |
Credential | AUD |
Practice Address |
5424 Discovery Park Blvd Suite 201 Williamsburg VA 23188-2904 |
Mailing Address |
860 Omni Blvd Suite 303 Newport News VA 23606-4430 |
Practice Telephone | 7573456330 |
Practice Fax Number | 7573456896 |
Mailing Telephone | 7572328769 |
Mailing Fax Number | 7572328875 |
Enumeration Date | 2012-12-07 |
Last Update Date | 2012-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 2201001240 | VA | Speech, Language and Hearing Service Providers |
N | 237600000X | Audiologist-Hearing Aid Fitter | 2101001668 | VA | Speech, Language and Hearing Service Providers |
N | 237700000X | Hearing Instrument Specialist | 2101001668 | VA | Speech, Language and Hearing Service Providers |
Street Address |
5424 DISCOVERY PARK BLVD SUITE 201 |
City | WILLIAMSBURG |
State | VA |
Zip Code | 23188-2904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104813765 | Richard A Parisi | Internal Medicine | 5424 Discovery Park Blvd, 204, Williamsburg, VA 23188 | 2005-09-29 |
1881166312 | John Davis Ireland | Physician Assistant | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2018-12-21 |
1851644165 | Michelle J Clark | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2012-10-24 |
1710255013 | Ellen O Winthrop | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2011-12-01 |
1376838433 | Amanda Mary Jetty | Physical Therapist | 5424 Discovery Park Blvd, Bldg. B /ste. 101, Williamsburg, VA 23188 | 2011-06-16 |
1912227471 | Joseph Reza Habibi | Urology | 5424 Discovery Park Blvd, Suite 203, Williamsburg, VA 23188-2904 | 2010-06-08 |
1851530851 | Tidewater Physicians Multispecialty Group | Durable Medical Equipment & Medical Supplies | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2862 | 2009-02-13 |
1356501068 | Matthew T. Doherty | Radiology | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2008-06-16 |
1740451251 | Thomas Durbin | Orthopaedic Surgery | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2904 | 2008-03-13 |
1376765032 | Kerry Bate | Specialist | 5424 Discovery Park Blvd, Bldg. B Ste. 101, Williamsburg, VA 23188 | 2007-05-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
Find all providers in zip 23188 |
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 |
---|---|---|---|---|
1215558952 | Caitlin Marie Holliday | Audiologist | 120 Kings Way Ste 2550, Williamsburg, VA 23185-2554 | 2020-05-05 |
1568598274 | R.jude Liptak | Audiologist | 430 Mclaws Cir, Suite 101, Williamsburg, VA 23185-5655 | 2007-02-26 |
1982764254 | Linda Bowers | Audiologist | 113 Palace Ln Ste L, Williamsburg, VA 23185-3034 | 2006-12-09 |
1639628563 | Maria Williams | Audiologist | 5408 Discovery Park Blvd, Suite 300, Williamsburg, VA 23188-2893 | 2016-10-04 |
1154748887 | Bethany Tucker | Audiologist | 430 Mclaws Cir, Suite 101, Williamsburg, VA 23185-5655 | 2014-03-19 |
1558797126 | Carissa Weiser | Audiologist | 430 Mclaws Cir, Suite 101, Williamsburg, VA 23185-5655 | 2013-09-16 |
1114105616 | Colonial Center for Hearing Inc | Audiologist | 430 Mclaws Cir, Ste 101, Williamsburg, VA 23185-5655 | 2008-02-06 |
1003094525 | Vertigo Dizzy Clinic LLC | Audiologist | 337 Mclaws Cir, Ste 3, Williamsburg, VA 23185-6334 | 2008-02-06 |
1124052899 | Cynthia Marie Sanders | Audiologist | 5424 Discovery Park Blvd, Suite 201, Williamsburg, VA 23188-2904 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427483 | Sarah Justine Frankel | Audiologist | 500 Independence Pkwy, Suite 100, Throat Associates, PC Dba Chesapeake Ear Nose & Eastern, Chesapeake, VA 23320-5197 | 2020-11-04 |
1053927038 | Inspired Hearing Solutions, P-llc | Audiologist | 9510 Iron Bridge Rd Ste 150, Chesterfield, VA 23832-6461 | 2020-09-16 |
1831709195 | Alexandra Renae Mai | Audiologist | 885 Kempsville Rd Ste 221, Norfolk, VA 23502-3800 | 2020-08-03 |
1306455332 | Kelsey Ann Oppler | Audiologist | 3801 University Dr Fl 3, Fairfax, VA 22030-2503 | 2020-07-27 |
1093323925 | Sydney Ross | Audiologist | 1708 Fall Hill Ave Ste 100, Fredericksburg, VA 22401-3511 | 2020-07-16 |
1548885874 | Skylar Tate Goodman | Audiologist | 305 Lynnhaven Pkwy Ste 101, Virginia Beach, VA 23452-7411 | 2020-06-12 |
1639794969 | Michelle Lee Durham | Audiologist | 111 Commonwealth Ave Ste 100, Bristol, VA 24201-3832 | 2020-06-12 |
1386269892 | Katie Alexandra Palmer | Audiologist | 44320 Premier Plz Ste 110, Ashburn, VA 20147-5077 | 2020-06-10 |
1992327324 | Andrew Taylor Bryant | Audiologist | 305 Lynnhaven Pkwy Ste A, Virginia Beach, VA 23452-7411 | 2020-05-07 |
1083255368 | Sheridan Childrens Healthcare Services of Virginia Inc | Audiologist | 15225 Healthcote Blvd, Haymarket, VA 20169-6264 | 2019-10-08 |
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City | WILLIAMSBURG |
Zip Code | 23188 |
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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.