UTAH STATE UNIVERSITY (NPI# 1235374984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235374984 |
| Entity Type | Organization |
| Organization Name | UTAH STATE UNIVERSITY |
| Other Organization Name | SPEECH LANGUAGE HEARING CENTER |
| Practice Address |
6410 Old Main Hl Logan UT 84322-6410 |
| Practice Telephone | 4357971346 |
| Practice Fax Number | 8443085865 |
| Mailing Telephone | 4357971346 |
| Mailing Fax Number | 8443085865 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | KATHRYN CLEMENTS (FINANCIAL OFFICER) |
| Authorized Official Telephone | 4357975830 |
| Is Organization Subpart | Y |
| Parent Organization Name | UTAH STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Speech Language Hearing Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063679785 | Utah State University | Community/Behavioral Health | 6813 Old Main Hill, Logan, UT 84322-6813 | 2008-05-20 |
| 1811054182 | Utah State University | Respite Care | 809 N 800 E, Logan, UT 84321-3634 | 2007-01-03 |
| 1174694095 | Utah State University | Clinic/Center | 6802 Old Main Hill, Logan, UT 84322-6802 | 2006-11-13 |
| 1629619010 | Utah State University | Behavioral Analyst | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-10-07 |
| 1447715701 | Utah State University | Specialist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-01-31 |
| 1144531419 | Utah State University | Day Training, Developmentally Disabled Services | 150 E Center St, Moab, UT 84532-2430 | 2010-07-01 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1811058076 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (BLANDING) | 639 W 100 S Suite 1-A, Blanding, UT 84511-4217 |
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (PRICE) | 451 E 400 N, Price, UT 84501-2626 |
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY SPACE DYNAMICS LABORATORY | 1695 N Research Pkwy, North Logan, UT 84341 |
| Street Address |
6410 OLD MAIN HL |
| City | LOGAN |
| State | UT |
| Zip Code | 84322-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649475633 | Amy Ann Porter | Audiologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2007-06-19 |
| 1356958508 | Sharon V Fairbourn | Speech-Language Pathologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2020-09-30 |
| 1659932275 | Jared Austin Fulgham | Speech-Language Pathologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2019-06-25 |
| 1922564897 | Angela G Anderson | Speech-Language Pathologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
| 1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
| 1508387176 | Matthew Steven Buckner | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322 | 2017-07-04 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
| 1639319775 | Vicki L. Simonsmeier | Speech-Language Pathologist | Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 | 2009-03-03 |
| 1730246299 | George Christopher Wootton | Nurse Practitioner | 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 | 2007-01-03 |
| 1356373807 | Utah State University, Center for Persons With Disabilities | Day Training, Developmentally Disabled Services | 6810 Old Main Hl, Logan, UT 84322-0001 | 2006-07-07 |
| 1801878095 | James Walter Davis | Emergency Medicine | 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 | 2005-11-15 |
| Find all providers in zip 84322 | ||||
| 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 |
|---|---|---|---|---|
| 1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1225221609 | John E. Ribera | Audiologist | Dept of Communicative Disorders and Deaf Education, 1000 Old Main Hill, Logan, UT 84322-1000 | 2007-08-20 |
| 1053518563 | Heather Jo Jensen | Audiologist | Usu Hearing Clinic, 1000 Old Main Hill, Logan, UT 84322-1000 | 2007-06-28 |
| 1649475633 | Amy Ann Porter | Audiologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2007-06-19 |
| 1235350554 | Vernon Nathaniel Mullins | Audiologist | 301 Stratton St, Logan, WV 25601-3911 | 2007-05-02 |
| 1124193347 | Logan Audiology & Hearing Aid Center Inc | Audiologist | 301 Stratton Street, Logan, WV 25601-3511 | 2006-11-22 |
| 1811078124 | Karen Frances Munoz | Audiologist | 2620 Old Main Hill, Northern Illinois Univ Speech-language-hearing Clinic, Logan, UT 84321 | 2006-10-17 |
| 1871509356 | Cache Laurence Pitt | Audiologist | 1000 Old Main Hl, Logan, UT 84322-1000 | 2006-08-01 |
| 1295372522 | Jeremy D Green | Audiologist | 293 S Main St, Logan, UT 84321-5203 | 2019-12-05 |
| Find all providers in LOGAN | ||||
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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.