CANDICE NEGLEY-TACKETT (NPI# 1225219538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225219538 |
| Entity Type | Individual |
| Full Name | CANDICE NEGLEY-TACKETT |
| Credential | AU.D |
| Practice Address |
1111 W Centre Ave Portage MI 49024-5317 |
| Practice Telephone | 2693240301 |
| Practice Fax Number | 2693242387 |
| Mailing Telephone | 2693240301 |
| Mailing Fax Number | 2693242387 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 1601000484 | MI | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 1601000484 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI STATE LICENSE NUMBER | 1601000484 | 01 |
| Street Address |
1111 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689700338 | Mark R Mcshane | Audiologist-Hearing Aid Fitter | 1111 W Centre Ave, Portage, MI 49024-5317 | 2007-02-26 |
| 1962653899 | Ronald D Slager | Hearing Instrument Specialist | 1111 W Centre Ave, Portage, MI 49024-5317 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457476384 | Hearing Services and Systems | Audiologist-Hearing Aid Fitter | 576 Romence Road, Suite 121, Portage, MI 49024 | 2007-03-20 |
| 1689700338 | Mark R Mcshane | Audiologist-Hearing Aid Fitter | 1111 W Centre Ave, Portage, MI 49024-5317 | 2007-02-26 |
| 1477522803 | John E Tecca | Audiologist-Hearing Aid Fitter | 576 Romence Rd, Suite 121, Portage, MI 49024 | 2006-03-17 |
| 1427368836 | Amelia Rose Tornow-schuring | Audiologist-Hearing Aid Fitter | 1350 W Centre Ave, Suite 105, Portage, MI 49024-5361 | 2010-10-19 |
| 1013199678 | Bonnie Sue Stanislawski | Audiologist-Hearing Aid Fitter | 2817 New Pinery Rd, Suite 103, Portage, WI 53901-9257 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215584982 | Lorin David Riutta | Audiologist-Hearing Aid Fitter | 150 Greenwood St, Ishpeming, MI 49849-2314 | 2019-08-19 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1679042808 | John Russell Saunders | Audiologist-Hearing Aid Fitter | 27041 Schoenherr Rd Ste B, Warren, MI 48088-6674 | 2018-11-16 |
| 1700368875 | Diane Marie Mamut | Audiologist-Hearing Aid Fitter | 134 W Middle St Ste A, Chelsea, MI 48118-1515 | 2018-09-05 |
| 1750882585 | Donald Roy Schell IIi | Audiologist-Hearing Aid Fitter | 5629 Sashabaw Rd, Clarkston, MI 48346-3149 | 2018-02-27 |
| 1912408758 | The Hearing Loss Treatment Center | Audiologist-Hearing Aid Fitter | 214 E Elm Ave Ste 111, Monroe, MI 48162-2678 | 2018-02-27 |
| 1386090488 | Sterling Hearing Care | Audiologist-Hearing Aid Fitter | 2032 E Square Lake Rd Ste 200f, Troy, MI 48085-3315 | 2016-05-06 |
| 1497129670 | Heritage Hearing, PC | Audiologist-Hearing Aid Fitter | 23083 E Main St, Armada, MI 48005-4706 | 2015-11-25 |
| 1861827370 | May Audiology and Hearing Aid Center | Audiologist-Hearing Aid Fitter | 4976 N Adams Rd, Rochester, MI 48306-1416 | 2013-09-04 |
| 1417395344 | Bieri Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 919 N Mcewan St, Suite C, Clare, MI 48617-1234 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
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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.