JEFFREY WAYNE WISE (NPI# 1164043188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164043188 |
Entity Type | Individual |
Full Name | JEFFREY WAYNE WISE |
Credential | AUD |
Practice Address |
4351 E Lohman Ave Ste 103 Las Cruces NM 88011-8258 |
Mailing Address |
4200 Northrise Dr Apt 404 Las Cruces NM 88011-7331 |
Practice Telephone | 5755219795 |
Mailing Telephone | 3175001275 |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-05-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760698716 | Jeffrey Bruce Wise | Otolaryngology | 1680 Route 23 Ste 120, Wayne, NJ 07470-7520 | 2007-05-15 |
1952422529 | Jeffrey Keith Wise | Dentist | 2350 Grass Valley Hwy, Auburn, CA 95603 | 2007-04-02 |
1053871004 | Jeffrey Mark Wise II | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-4260 | 2019-03-24 |
1346613460 | Jeffrey Daniel Wise | Physical Therapy Assistant | 15 Kirkbride Dr, Danvers, MA 01923-6011 | 2015-11-11 |
1609893155 | Jeffrey J Wise | Orthopaedic Surgery | 52 W Shirley Ave, Warrenton, VA 20186 | 2006-07-17 |
Street Address |
4351 E LOHMAN AVE STE 103 |
City | LAS CRUCES |
State | NM |
Zip Code | 88011-8258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538256375 | Kelly M Churchill | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2006-10-05 |
1013422146 | Allie Marie Lambert | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2017-12-12 |
1386902773 | Advanced Hearing Care, LLC | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2012-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
Find all providers in zip 88011 |
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 |
---|---|---|---|---|
1275909871 | Regents of New Mexico State University | Audiologist | 3600 Arrowhead Dr, Bldg 08, Las Cruces, NM 88011 | 2015-08-18 |
1598155756 | Moumita Choudhury | Audiologist | 3600 Arrowhead Dr., Bldg. 08, Las Cruces, NM 88011-5129 | 2015-01-27 |
1336311059 | Rio Grande Hearing Center | Audiologist | 1130 Commerce Drive, Las Cruces, NM 88011 | 2008-04-02 |
1538256375 | Kelly M Churchill | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2006-10-05 |
1457452971 | New Mexico State University Speech and Hearing Center | Audiologist | Corner of University and Jordan, Speech Bldg. Room 158, Las Cruces, NM 88003-8001 | 2006-09-26 |
1013422146 | Allie Marie Lambert | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2017-12-12 |
1417351545 | Srikanta Mishra | Audiologist | 1405 International Mall, Speech Building Room 158, Las Cruces, NM 88003 | 2014-10-17 |
1457762833 | Jack Jones Hearing Center, Inc. | Audiologist | 2240 E Lohman Ave Ste 2, Las Cruces, NM 88001-8418 | 2014-05-19 |
1386902773 | Advanced Hearing Care, LLC | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2012-04-24 |
1063745818 | Michele L Steffens | Audiologist | 505 S Main St, Suite 249, Las Cruces, NM 88001-1206 | 2009-09-11 |
Find all providers in LAS CRUCES |
City | LAS CRUCES |
Zip Code | 88011 |
Please comment or provide details below to improve the information on JEFFREY WAYNE WISE.
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.