GRETA MARIE BRECKBILL (NPI# 1154808491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154808491 |
| Entity Type | Individual |
| Full Name | GRETA MARIE BRECKBILL |
| Credential | AUD |
| Practice Address |
421 Camelot Dr Fond Du Lac WI 54935 |
| Mailing Address |
421 Camelot Dr Fond Du Lac WI 54935-8335 |
| Practice Telephone | 9209268460 |
| Mailing Telephone | 9209268460 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 670-156 | WI | Speech, Language and Hearing Service Providers |
| Street Address |
421 CAMELOT DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433435 | Elizabeth S Bensen | Physical Medicine & Rehabilitation | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2005-10-28 |
| 1962028522 | Kelley Cantu | Massage Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2020-06-19 |
| 1306473780 | Samantha Jo Krones | Physician Assistant | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2020-03-25 |
| 1962975292 | Tyler Schwarz | Specialist/Technologist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2019-01-09 |
| 1861991424 | Jacklyn Osborne | Nurse Practitioner | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2018-02-08 |
| 1932620689 | Michael Schraufnagel | Physical Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-07-03 |
| 1477083608 | Tristan G Brown | Optometrist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-06-20 |
| 1306379433 | Ashley Beyer | Specialist/Technologist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-04-05 |
| 1417498254 | Allieson Elizabeth Mirsberger | Massage Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-03-13 |
| 1598219826 | Margaret Miller Boyd | Acupuncturist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2016-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| 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 |
|---|---|---|---|---|
| 1831195361 | Gregory N Wiersema | Audiologist | 221 Fond Du Lac Ave, Fond Du Lac, WI 54935-5303 | 2005-06-21 |
| 1932512522 | Brianna L Anderson | Audiologist | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2014-06-11 |
| 1346554987 | Angela E Eggebrecht | Audiologist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2010-08-05 |
| 1922291095 | Rachel Rae Bending | Audiologist | 1211 Rickmeyer Dr, Ste. Cc, Fond Du Lac, WI 54937-2213 | 2007-08-22 |
| 1588697213 | Katherine A. Tobin | Audiologist | 481 E Division St, Suite 900, Fond Du Lac, WI 54935-3748 | 2006-07-08 |
| 1770532137 | Leslie R Moser | Audiologist | 421 Camelot Dr, Fond Du Lac, WI 54935-4560 | 2006-05-10 |
| 1205884400 | Catherine L Conely | Audiologist | 210 Wisconsin American Dr, Fond Du Lac, WI 54935-2999 | 2006-05-04 |
| 1386692150 | Kristin A Nytes | Audiologist | 210 Wisconsin American Dr, Fond Du Lac, WI 54935-2999 | 2006-05-04 |
| 1952383044 | Troy A Kasuboski | Audiologist | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-15 |
| 1134110539 | Elizabeth A Gorman | Audiologist | 421 Camelot Dr, Fond Du Lac, WI 54935-4560 | 2005-11-03 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.