AUDIO VESTIBULAR ASSESSMENT, INC (NPI# 1265769947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265769947 |
| Entity Type | Organization |
| Organization Name | AUDIO VESTIBULAR ASSESSMENT, INC |
| Other Organization Name | AVA HEARING CENTER |
| Practice Address |
5344 Plainfield Ave Ne Suite 4 Grand Rapids MI 49525-1009 |
| Practice Telephone | 6163651979 |
| Practice Fax Number | 6163651964 |
| Mailing Telephone | 6163651979 |
| Mailing Fax Number | 6163651964 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | MRS. KAREN ANN JACOBS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6163651979 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
KJ000001 | MI | Ambulatory Health Care Facilities |
| Y | 231H00000X | Audiologist | KJ000001 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 804687934 | 05 | |
| MI | 903499018 | 05 |
| Other Name | Type Code |
|---|---|
| AVA Hearing Center | Doing Business As Name - Organization |
| Street Address |
5344 PLAINFIELD AVE NE SUITE 4 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093878480 | Karen Ann Jacobs | Audiologist | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1073143210 | Megan Justine Gustavson | Audiologist | 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | 2020-01-15 |
| 1730439225 | William Allen Hodgson | Audiologist | 803 Ne 1st Ave, Grand Rapids, MN 55744-2751 | 2012-09-12 |
| 1457596090 | Mary Disselkoen | Audiologist | 1353 Van Auken St Se, Grand Rapids, MI 49508-2516 | 2008-12-11 |
| 1750535373 | Jack De Boer | Audiologist | 2036 Chesaning Dr Se, Grand Rapids, MI 49506-5309 | 2008-11-10 |
| 1740452200 | Susan Jane Haveman-kruyf | Audiologist | 655 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-8622 | 2008-03-25 |
| 1023299088 | Sharon K. Hickox | Audiologist | 4055 Cascade Rd Se Ste 201, Grand Rapids, MI 49546-2149 | 2007-11-19 |
| 1932329729 | Theresa Marie Bosworth | Audiologist | 1425 Michigan Ne Suite A, Grand Rapids, MI 49503 | 2007-04-26 |
| 1164575833 | Edward Joseph Szumowski | Audiologist | 4232 29th St Se, Grand Rapids, MI 49512-1936 | 2007-01-18 |
| 1093878480 | Karen Ann Jacobs | Audiologist | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 | 2006-12-18 |
| 1588697411 | Denise Ann Hove | Audiologist | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2006-07-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on AUDIO VESTIBULAR ASSESSMENT, INC.
| 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.