CONNIE L REVECAMP (NPI# 1225198591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225198591 |
| Entity Type | Individual |
| Full Name | CONNIE L REVECAMP |
| Other Name | CONNIE L CAMPA |
| Credential | M.S. |
| Practice Address |
1600 Eureka Rd Roseville CA 95661-3027 |
| Practice Telephone | 9167845880 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU1029 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
1600 EUREKA RD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393524 | Lianna Marie Edwards | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2005-08-12 |
| 1659983138 | Armaan Sahota | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1356953970 | Jenny Ear | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1447868773 | Courtney L Kerstetter | Physical Therapist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-22 |
| 1982221321 | Diane Leszczynski | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-01 |
| 1114554409 | Ascension Thiele-ruiz | Registered Nurse | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-03-25 |
| 1184264582 | Amandeep Singh Raikhy | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-01-14 |
| 1508405481 | Mung Huynh | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-25 |
| 1063059319 | Cecille Truong | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-05 |
| 1952943748 | Kayli Scanlon | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1952654923 | Connect Hearing, Inc. | Audiologist | 807 Douglas Blvd, Ste 100, Roseville, CA 95678-2762 | 2012-10-16 |
| 1306119623 | Whisper Hearing Center Inc | Audiologist | 1850 Douglas Blvd Ste 992, Roseville, CA 95661-3639 | 2012-02-16 |
| 1669538336 | Karen Anne Dettman | Audiologist | 2120 Professional Dr Ste 220, Roseville, CA 95661-3700 | 2006-12-28 |
| 1154421147 | Roselynn G Young | Audiologist | 1411 Secret Ravine Pkwy Ste 120, Roseville, CA 95661-6042 | 2006-09-22 |
| 1093751356 | Laura Anne Morrison | Audiologist | 1745 Lexington Ave N, Roseville, MN 55113-6522 | 2006-06-22 |
| 1891341509 | Aimee Ellesse Paredez | Audiologist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-08-18 |
| 1881255818 | Jasmine Monet Zavala | Audiologist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-06-20 |
| 1437630282 | Kristina M Anaya | Audiologist | 2120 Professional Dr Ste 220, Roseville, CA 95661-3700 | 2018-08-28 |
| 1770062416 | Langathani Siziba | Audiologist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-08-13 |
| 1952823585 | Kaitlin Paige Leggins | Audiologist | 2120 Professional Dr, Roseville, CA 95661-3700 | 2017-07-14 |
| Find all providers in ROSEVILLE | ||||
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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.