DR. DEREK BEAUDOIN (NPI# 1114570694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114570694 |
| Entity Type | Individual |
| Full Name | DR. DEREK BEAUDOIN |
| Credential | AUD |
| Practice Address |
73-5618 Maiau St Ste A203 Kailua Kona HI 96740-2634 |
| Practice Telephone | 8083290943 |
| Practice Fax Number | 8083290943 |
| Mailing Telephone | 8083290943 |
| Mailing Fax Number | 8083290943 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 197 | HI | Speech, Language and Hearing Service Providers |
| Street Address |
73-5618 MAIAU ST STE A203 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821495672 | Kayla Smith | Audiologist | 73-5618 Maiau St Ste A203, Kailua Kona, HI 96740-2634 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| 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 |
|---|---|---|---|---|
| 1821495672 | Kayla Smith | Audiologist | 73-5618 Maiau St Ste A203, Kailua Kona, HI 96740-2634 | 2014-11-21 |
| 1568459766 | Maureen Theresa Lang | Audiologist | 75-5591 Palani Rd, #206, Kailua Kona, HI 96740-3631 | 2005-10-03 |
| 1194871269 | Roma J L Johnson | Audiologist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574530 | Karen Calabrese | Audiologist | 1040 Koko Uka Pl, Honolulu, HI 96825-3600 | 2019-08-20 |
| 1376017095 | Jelene Wong | Audiologist | 2215 Laukahi St, Honolulu, HI 96821-2635 | 2019-01-15 |
| 1922506575 | Kristin Kumabe | Audiologist | 1010 S King St Ste 802, Honolulu, HI 96814-1709 | 2018-01-30 |
| 1346611100 | Hawaii Mobile Audiology & Hearing Aids | Audiologist | 1800 Kaioo Drive, C504, Honolulu, HI 96815-5830 | 2015-10-19 |
| 1467707877 | Chiemi Tanaka | Audiologist | 677 Ala Moana Blvd., Suite 625, Honolulu, HI 96813-5417 | 2012-07-23 |
| 1760759849 | Mandy Santos | Audiologist | 3003 Kailiili Road, Haiku, HI 96708-6011 | 2011-11-17 |
| 1285914937 | Meghan Mueller-schultz | Audiologist | 99-115 Aiea Heights Dr Ste 264, Aiea, HI 96701-3975 | 2011-08-25 |
| 1073802856 | Kathleen Knezek | Audiologist | 94-737 Meheula Pkwy Apt 10a, Mililani, HI 96789-2193 | 2011-04-01 |
| 1548427677 | Scarlet Marie Aviles | Audiologist | 1380 Lusitana St #1007, Honolulu, HI 96813 | 2008-05-16 |
| 1942407325 | Ann N Narimasu-phomenone | Audiologist | 1319 Punahou St # B2015, Honolulu, HI 96826-1001 | 2007-06-29 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.