DR. ALYSSA DALE FITZGERALD (NPI# 1194247239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194247239 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA DALE FITZGERALD |
| Credential | AUD |
| Practice Address |
101 W Mckinley Ave Decatur IL 62526-3286 |
| Mailing Address |
101 West Mckinely Ave Decatur IL 62526 |
| Practice Telephone | 2178763682 |
| Mailing Telephone | 2178763382 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147001513 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
101 W MCKINLEY AVE |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-3286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1982123774 | Loretta Louise Hedges | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-13 |
| 1831617224 | Hannah Suzanne Gray | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-06 |
| 1932657038 | Ashley Patel | Physician Assistant | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2016-09-17 |
| 1922410851 | Therese Kistenfeger | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2014-05-27 |
| 1184875189 | Associated Otolaryngologists of Decatur | Hearing Aid Equipment | 101 W Mckinley Ave, 101w Mckinley Ave, Decatur, IL 62526-3286 | 2008-10-08 |
| 1952570947 | James Klemens | Audiologist-Hearing Aid Fitter | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2008-02-25 |
| 1568646842 | Jeffrey Michael Ulis | Otolaryngology | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2007-12-22 |
| 1598722712 | Steven M Sobol | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
| 1043278013 | Bethany T Gibson | Allergy & Immunology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1700432242 | Leah Kristen Horn | Audiologist | 1670 Clairmont Rd # 126, Decatur, GA 30033-4004 | 2019-08-12 |
| 1063894947 | Hometown Hearing & Audiology, Inc. | Audiologist | 2888 N Monroe St, 195, Decatur, IL 62526-3269 | 2015-06-26 |
| 1518219880 | Connect Hearing, Inc. | Audiologist | 160 Clairemont Ave Ste 120, Decatur, GA 30030-2562 | 2012-10-10 |
| 1417234808 | Liz Minnette Ramos | Audiologist | 484 Irvin Ct Ste 140, Decatur, GA 30030-5406 | 2011-11-14 |
| 1023274685 | Deborah Sharon Golden | Audiologist | 2726 Lawrenceville Highway, Decatur, GA 30033 | 2008-08-04 |
| 1245252337 | Tiffany Shea Haney | Audiologist | 1670 Clairmont Road (atlanta), Audiology and Speech Pathology Department, Decatur, GA 30033 | 2006-07-24 |
| 1063027142 | Emily Kate Feibelman | Audiologist | 1670 Clairmont Road, Audiology Clinic (126), Decatur, GA 30033 | 2020-09-15 |
| 1851868905 | Michelle Lewis | Audiologist | 1 Educational Park, Decatur, IL 62526 | 2018-10-26 |
| 1982123774 | Loretta Louise Hedges | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-13 |
| 1831617224 | Hannah Suzanne Gray | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-06 |
| Find all providers in DECATUR | ||||
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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.