CALLIE JACK (NPI# 1093182057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093182057 |
| Entity Type | Individual |
| Full Name | CALLIE JACK |
| Practice Address |
6162 E. Mockingbird Lane Suite 100 Dallas TX 75214 |
| Mailing Address |
6162 E Mockingbird Ln Suite 100 Dallas TX 75214-2697 |
| Practice Telephone | 2148246400 |
| Mailing Telephone | 2148246400 |
| Mailing Fax Number | 2148246070 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 80684 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 180895801 | 05 |
| Street Address |
6162 E. MOCKINGBIRD LANE SUITE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
| 1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
| 1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
| 1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
| 1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
| 1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
| 1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
| 1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
| 1366868275 | Klaudia Lopez-jones | Speech-Language Pathologist | 6301 Gaston Avenue, Suite 750, Dallas, TX 75214 | 2014-03-16 |
| Find all providers in zip 75214 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285877373 | Ruth Hendelman | Audiologist-Hearing Aid Fitter | 17223 Village Ln, Dallas, TX 75248-6048 | 2009-04-20 |
| 1972769636 | Michele Hurley | Audiologist-Hearing Aid Fitter | 10565 Vinemont St, Dallas, TX 75218-2353 | 2008-08-01 |
| 1811150717 | Shelley A Somuah | Audiologist-Hearing Aid Fitter | 1012-g Philadelphia Church Rd, Dallas, NC 28034-7724 | 2008-07-10 |
| 1316167620 | K J Gorman, LLC | Audiologist-Hearing Aid Fitter | 267 Wynnewood Village, Dallas, TX 75224 | 2007-04-27 |
| 1508988643 | Myron Lyle Bouray | Audiologist-Hearing Aid Fitter | 333 Inwood Vlg, Dallas, TX 75209-4393 | 2007-04-06 |
| 1174658660 | Hector Kypuros | Audiologist-Hearing Aid Fitter | 3530 Forest Ln Ste 42, Dallas, TX 75234-4160 | 2007-02-23 |
| 1366499766 | Sonus-texas, Inc. | Audiologist-Hearing Aid Fitter | 3530 Forest Ln, Ste 50, Dallas, TX 75234-7910 | 2006-05-30 |
| 1245853456 | Amanda Frost | Audiologist-Hearing Aid Fitter | 1966 Inwood Rd, Dallas, TX 75235-7298 | 2020-05-21 |
| 1124539523 | Meagan Chance-scott | Audiologist-Hearing Aid Fitter | 6120 E Mockingbird Ln, Dallas, TX 75214-2601 | 2017-10-12 |
| 1285081232 | Carol G Cokely | Audiologist-Hearing Aid Fitter | 1966 Inwood Rd., Dallas, TX 75235 | 2016-05-19 |
| Find all providers in DALLAS | ||||
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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.