MEGAN M WALLACE (NPI# 1306192810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306192810 |
| Entity Type | Individual |
| Full Name | MEGAN M WALLACE |
| Other Name | MEGAN M HEMMER |
| Credential | AU.D. |
| Practice Address |
2502 E Empire St Bloomington IL 61704-3738 |
| Mailing Address |
3401 N Perryville Rd Rockford IL 61114-8011 |
| Practice Telephone | 3096634368 |
| Practice Fax Number | 0952453573 |
| Mailing Telephone | 8159712000 |
| Mailing Fax Number | 8159719729 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147001429 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725957 | Megan Elizabeth Wallace | Behavior Technician | 784 Kelsall Dr, Richmond Hill, GA 31324-7706 | 2018-10-11 |
| 1386181022 | Megan Wallace | Nurse Practitioner | 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 | 2017-01-19 |
| 1972838878 | Megan Ann Wallace | Speech-Language Pathologist | 1000 W 15th St, Unit 224, Chicago, IL 60608-1882 | 2009-10-09 |
| 1003385170 | Megan Nicol Wallace | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401-4895 | 2018-11-19 |
| 1780123521 | Megan E. Wallace | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-02-13 |
| 1326420720 | Megan Wallace | Social Worker | 67 President St, Msc 861, Iop 2 South, Charleston, SC 29425-5712 | 2015-06-22 |
| 1174911168 | Megan Wallace | Nurse Anesthetist, Certified Registered | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2014-12-30 |
| 1881095933 | Megan Wallace | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-09-09 |
| 1306252473 | Megan Wallace | Occupational Therapist | 162 W 72nd St, 5th Floor, New York, NY 10023-3300 | 2014-07-09 |
| 1518253905 | Megan Wallace | Speech-Language Pathologist | 6180 Brockton Ave, Suite 202, Riverside, CA 92506-2228 | 2011-06-23 |
| Street Address |
2502 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235101619 | Brian L Hamm | Podiatrist | 2502 E Empire St, Bloomington, IL 61704-3738 | 2006-02-01 |
| 1861035685 | Tara Malinowski | Nurse Practitioner | 2502 E Empire St, Bloomington, IL 61704-3738 | 2019-10-24 |
| 1881178259 | Heartland Anesthesia LLC | Anesthesiology | 2502 E Empire St, Bloomington, IL 61704-3738 | 2018-09-20 |
| 1699107797 | Paige C. Holt | Plastic Surgery | 2502 E Empire St, Ste C, Bloomington, IL 61704-3738 | 2013-07-31 |
| 1295173128 | Paige C Holt, Md, Ltd | Plastic Surgery | 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 | 2013-06-13 |
| 1679862056 | Valerie Michele Weck | Psychologist | 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 | 2011-04-06 |
| 1770890097 | Elaine Smith | Registered Nurse | 2502 E Empire St, Bloomington, IL 61704-3738 | 2010-09-08 |
| 1649466111 | Crystal L Sweeney | Nurse Practitioner | 2502 E Empire St, Bloomington, IL 61704-3738 | 2007-09-19 |
| 1255527727 | Laura C. Randolph Md Sc | Clinic/Center | 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 | 2007-09-19 |
| 1326233271 | Barry Jay Riskin | Psychiatry & Neurology | 2502 E Empire St, Bloomington, IL 61704-3738 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| 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 |
|---|---|---|---|---|
| 1225438948 | Catherine Hessig | Audiologist | 8001 Bloomington Freeway, Gn Hearing Care, Bloomington, MN 55420-1036 | 2014-08-29 |
| 1205245719 | Deanna Marie Ginder-west | Audiologist | 2101 Eastland Dr Ste F, Bloomington, IL 61704-3510 | 2014-08-08 |
| 1316213721 | Luis Camacho | Audiologist | 2011 N. Locust Ct., Bloomington, IN 47401 | 2012-03-29 |
| 1053606400 | Heather Lynn White | Audiologist | 5931 W State Road 46, Bloomington, IN 47404-9359 | 2011-06-14 |
| 1134364052 | Megan C Kuhn | Audiologist | Campus Box 4720, Illinois State University, Bloomington, IL 61790-4720 | 2008-12-05 |
| 1346338605 | Natalie M Mckee | Audiologist | 816 S Eldorado Rd, Unit 1 and 2a, Bloomington, IL 61704-6000 | 2006-10-11 |
| 1104914423 | Stacy Chalmers | Audiologist | 816 S Eldorado Rd Ste 1, Bloomington, IL 61704-6035 | 2006-10-11 |
| 1871503573 | Hoosier Hearing Solutions LLC | Audiologist | 1355 W Bloomfield Road, Suite 3, Bloomington, IN 47403-2052 | 2006-08-08 |
| 1285242768 | Kristin Johnson | Audiologist | 816 S Eldorado Rd Ste 1, Bloomington, IL 61704-6035 | 2020-07-21 |
| 1881218196 | Anne Louise Spence | Audiologist | 2920 S Mcintire Dr Ste 350, Bloomington, IN 47403-4215 | 2020-06-02 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.