LINDA A WAGNER


Address: 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312
Phone: 5052986752

LINDA A WAGNER (NPI# 1235265190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235265190
Entity Type Individual
Full Name LINDA A WAGNER
Credential AUD
Practice Address 2611 Eubank Blvd Ne
Aztec Complex
Albuquerque
NM 87112-1312
Practice Telephone 5052986752
Mailing Telephone 5052986752
Enumeration Date 2007-02-26
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 492 NM Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM H 2043 05

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Office Location

Street Address 2611 EUBANK BLVD NE
AZTEC COMPLEX
City ALBUQUERQUE
State NM
Zip Code 87112-1312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629079868 Anne C. Mccarty Audiologist 2611 Eubank Blvd Ne, Albuquerque, NM 87112-1312 2005-08-10
1063033165 Marcella K Padilla Speech-Language Pathologist 2611 Eubank Blvd Ne, Albuquerque, NM 87112 2020-04-29
1437700788 Stephanie Avila Social Worker 2611 Eubank Blvd Ne, Albuquerque, NM 87112-1312 2019-09-26
1083048037 Mary Jo Picha Social Worker 2611 Eubank Blvd Ne, Albuquerque, NM 87112-1312 2013-08-27
1043593247 Natalia R Martinez Audiologist 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312 2011-09-23
1962735712 Mary E Hartley Speech-Language Pathologist 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312 2009-09-11
1578716767 Kelly Marie Salceies Speech-Language Pathologist 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312 2008-10-31
1952588949 Rachel B Duran-strong Social Worker 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312 2008-01-22
1174702153 Stephanie M Meyer Audiologist 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312 2007-10-26
1952505513 Malia Vigil Speech-Language Pathologist 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312 2007-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356999411 Lynn Eileen Riley Counselor 10205 Stovall Pl Ne, Albuquerque, NM 87112 2019-08-30
1548818222 Cindy D Montoya Technician 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 2019-08-27
1194387449 Karen Sue Stockham Counselor 9024 Aspen Ave Ne, Albuquerque, NM 87112 2019-07-07
1316416837 New Beginning Counseling Services Inc Counselor 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 2018-11-14
1306365929 Calyx Institute LLC Social Worker 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 2017-09-14
1811411135 Annette Romero Case Manager/Care Coordinator 9741 Candelaria, Albuquerque, NM 87112 2017-07-28
1851814784 Ally Renee Funkhouser Dye Pediatrics 2130 Eubank Blvd Ne, Albuquerque, NM 87112 2017-07-23
1508303140 Makena Bailey Nash Behavior Technician 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 2017-01-20
1477978906 Albert R Toya Massage Therapist 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 2014-02-20
1184918104 Jennifer E Chavez Counselor 1505 Marron Circle Ne, Albuquerque, NM 87112 2011-06-07
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(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

Providers in the same taxonomy and city

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1841844800 National Hearing and Balance, LLC. Audiologist 6709 Academy Rd Ne Ste B, Albuquerque, NM 87109-3363 2019-07-29
1992191100 Lisa A Pulsipher Aud LLC Audiologist 7007 Wyoming Blvd Ne Ste B4, Albuquerque, NM 87109-3982 2015-04-14
1508277971 Jack Jones Hearing Center, Inc. Audiologist 5109 Coors Blvd Nw, Ste D, Albuquerque, NM 87120-1922 2014-05-19
1063720472 Northland Hearing Centers Inc Audiologist 10000 Coors Blvd. Bypass Nw, Albuquerque, NM 87114 2010-09-20
1689903262 Judith Carlson Audiologist 911 Richmond Dr Se, Albuquerque, NM 87106-2315 2009-12-10
1659501781 Alegria Speech and Language Services LLC Audiologist 11005 Spain Rd Ne Ste 15, Albuquerque, NM 87111-1871 2009-07-23
1932370400 Margaret Chapman Audiologist 2211 Lomas Blvd Ne Dept 5n, Albuquerque, NM 87106-2745 2008-03-12
1730309345 Linda Lea Donaldson Audiologist 7920 Wyoming Blvd. Ne, Suite A, Albuquerque, NM 87109 2007-04-26
1487775722 Hph Inc. Audiologist 10700 Corrales Rd, Suite I, Albuquerque, NM 87114 2007-04-03
1932235819 Mary Manchester Audiologist 9110 Shoshone Rd Ne, Sombra Del Monte Es, Albuquerque, NM 87111-4786 2007-02-26
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Competitor

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City ALBUQUERQUE
Zip Code 87112

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Dataset Information

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.

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