KATHRYN MERRY TIEDY (NPI# 1114353802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114353802 |
| Entity Type | Individual |
| Full Name | KATHRYN MERRY TIEDY |
| Other Name | KATHRYN JEAN MERRY |
| Credential | M.S., CCC-A |
| Practice Address |
438 Main St Suite 204 Middletown CT 06457-3396 |
| Mailing Address |
888 Worcester St Suite 130 Wellesley MA 02482-3744 |
| Practice Telephone | 8889646681 |
| Practice Fax Number | 8886620859 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 3396862561 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 000502 | CT | Speech, Language and Hearing Service Providers |
| Street Address |
438 MAIN ST SUITE 204 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316489636 | Nicole Adams | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-11-17 |
| 1528516614 | Colleen Bouffard | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-09-17 |
| 1962855106 | Christina Bearish | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-07-22 |
| 1275942054 | Mary Shepard | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2014-08-06 |
| 1003233149 | Terri Davis | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2014-03-26 |
| 1003246042 | Deanna Dennis | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3397 | 2013-11-12 |
| 1063750396 | Jessica Rivera | Technician/Technologist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2013-01-22 |
| 1013249895 | Paula Kay Mclaughlin | Audiologist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2010-02-04 |
| 1821250952 | Eric John Pape | Optometrist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2008-06-30 |
| 1841463841 | Ileana Muxo | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1124504519 | Kelli Warner | Audiologist | 104 Sleepy Hollow Dr Ste 202, Middletown, DE 19709-5842 | 2018-07-18 |
| 1336528371 | Gwendolyn A Dawson | Audiologist | 3925 Roosevelt Blvd Ste C, Middletown, OH 45044-6689 | 2015-05-22 |
| 1013273705 | Suzanne Clark | Audiologist | 1044 Summit Dr, Middletown, OH 45042 | 2012-04-06 |
| 1366689903 | Clark Audiology LLC | Audiologist | 1060 A Summit Dr, Middletown, OH 45042-3400 | 2009-01-20 |
| 1891846051 | Diana L. Dietz | Audiologist | 75 Crystal Run Rd Bldg B, Middletown, Middletown, NY 10941-7000 | 2007-01-15 |
| 1558421784 | John Greer Clark | Audiologist | 1044 Summitt Dr, Middletown, OH 45042-3400 | 2006-12-11 |
| 1508926791 | Dana Alise Nolen | Audiologist | 1040a Summitt Dr, Middletown, OH 45042-3400 | 2006-12-11 |
| 1003900432 | Stacy L Sanders | Audiologist | 104 Sleepy Hollow Drive, Suite 202, Middletown, DE 19709-5842 | 2006-10-02 |
| 1760408546 | Jill Gaffey | Audiologist | 198 South Main St, Middletown, CT 06457 | 2006-07-14 |
| 1699132688 | Grupenhof Enterprises, LLC | Audiologist | 1040a Summitt Dr, Middletown, OH 45042-3400 | 2016-01-21 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.