LUEKENGA WAY, LLC (NPI# 1295286383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295286383 |
| Entity Type | Organization |
| Organization Name | LUEKENGA WAY, LLC |
| Other Organization Name | UTAH EAR INSTITUTE |
| Practice Address |
415 Medical Dr 202a Bountiful UT 84010-4946 |
| Mailing Address |
415 Medical Dr 202-a Bountiful UT 84010-4946 |
| Practice Telephone | 8012984327 |
| Practice Fax Number | 8012984328 |
| Mailing Telephone | 8012984327 |
| Mailing Fax Number | 8012984328 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | JOSHUA C LUEKENGA (DOCTOR OF AUDIOLOGY/OWNER) |
| Authorized Official Telephone | 8012984327 |
| Authorized Official Credential | AU.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 80296474101 | UT | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Utah Ear Institute | Doing Business As Name - Organization |
| Street Address |
415 MEDICAL DR 202A |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848338 | Christine A Cheng | Specialist | 415 Medical Dr, Suite D102, Bountiful, UT 84010-4946 | 2005-08-10 |
| 1639685316 | Melissa Gardner | Behavior Technician | 415 Medical Dr, Bountiful, UT 84010-4946 | 2017-12-18 |
| 1982139903 | Karen Louise Nickl | Psychologist | 415 Medical Dr, Suite B101, Bountiful, UT 84010-4946 | 2017-04-27 |
| 1427592740 | Heather Dillon | Assistant Behavior Analyst | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2016-12-05 |
| 1942657960 | Paul C Larsen Dmd PC | Dentist | 415 Medical Dr, Ste D201, Bountiful, UT 84010-4946 | 2016-05-19 |
| 1467831586 | Rita Zimmerman | Counselor | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2015-05-21 |
| 1942641931 | Neurobehavioral Center for Growth LLC | Psychologist | 415 Medical Dr, Suite A 201, Bountiful, UT 84010-4946 | 2013-07-08 |
| 1659661288 | Mark Spencer Mcgowan | Dentist | 415 Medical Dr, A200, Bountiful, UT 84010-4946 | 2011-04-16 |
| 1164723482 | Joe R Nielsen Md PC | Clinic/Center | 415 Medical Dr, D-200, Bountiful, UT 84010-4946 | 2010-11-03 |
| 1104061191 | William T Sadler Md PC | Internal Medicine | 415 Medical Dr, Suite C202, Bountiful, UT 84010-4946 | 2008-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
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| 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 |
|---|---|---|---|---|
| 1295254829 | Cory Cook | Audiologist | 415 Medical Dr Ste A202, Bountiful, UT 84010-4971 | 2017-09-14 |
| 1659715746 | Mountaintop Audiology LLC | Audiologist | 415 S. Medical Dr., Suite 202a, Bountiful, UT 84010-4946 | 2013-04-19 |
| 1437340429 | Kathryn Tonkovich II | Audiologist | Primary Childrens Rehab Bountiful, 280 N Main St, Bountiful, UT 84010 | 2007-08-06 |
| 1346776127 | Kelli R Loveland | Audiologist | 1551 Renaissance Towne Dr, Bountiful, UT 84010 | 2017-05-11 |
| 1033522933 | Jill Freitas Calderwood | Audiologist | 1551 Renaissance Towne Dr, Bountiful, UT 84010-7667 | 2014-06-09 |
| 1073846523 | Lindsey Tubaugh | Audiologist | 280 N Main St, 2nd Floor, Bountiful, UT 84010-6136 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116051 | Lone Peak Audiology and Hearing Services | Audiologist | 36 N 1100 E Ste C, American Fork, UT 84003-2918 | 2020-08-28 |
| 1699305219 | Earlux LLC | Audiologist | 5513 W 11000 N # 202, Highland, UT 84003-8012 | 2020-01-23 |
| 1386202950 | Kaitlynn Naoko Urano | Audiologist | 98 N 1100 E Ste 203, American Fork, UT 84003-2941 | 2019-05-30 |
| 1518523398 | Kyle Whittle | Audiologist | 4052 W Pioneer Pkwy Ste 101, West Valley City, UT 84120-2063 | 2019-05-16 |
| 1114496189 | Stefani Dianne Watson | Audiologist | 299 E 1060 S, Ivins, UT 84738-6271 | 2018-11-19 |
| 1538644414 | Brittany Bown | Audiologist | 1055 N 300 W Ste 211, Provo, UT 84604-3374 | 2018-09-26 |
| 1225524192 | Heather Annette Smith | Audiologist | 1490 E Foremaster Dr Ste 360, St George, UT 84790-4508 | 2018-07-03 |
| 1821582719 | Sadie Schilaty | Audiologist | 50 N. Medical Drive, Clinic 9, Salt Lake City, UT 84132-0001 | 2018-06-14 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1255852323 | Fiona Hayes | Audiologist | 1255 E 3900 S Ste 301, Salt Lake City, UT 84124-1417 | 2017-06-29 |
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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.