DR. KELLY LYNN KODER (NPI# 1336221720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336221720 |
| Entity Type | Individual |
| Full Name | DR. KELLY LYNN KODER |
| Credential | AU.D. |
| Practice Address |
James H. Quillen/vamc Corner of Sidney & Lamont St Mountain Home TN 37684 |
| Mailing Address |
207 E Mill St Elizabethton TN 37643-2001 |
| Practice Telephone | 4239261171 |
| Practice Fax Number | 4239793403 |
| Mailing Telephone | 4237371830 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 7441 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
JAMES H. QUILLEN/VAMC CORNER OF SIDNEY & LAMONT ST |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982791927 | John Frank Testerman IIi | Physician Assistant | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37686 | 2006-10-10 |
| 1063433613 | Evelyn Marie Reilman | Dietitian, Registered | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684-4000 | 2006-07-21 |
| 1245255884 | Richard Crane Haaser | Psychiatry & Neurology | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-13 |
| 1336173202 | Sharon Kay Garris | Registered Nurse | James H. Quillen/vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 | 2006-07-10 |
| 1154355717 | Kendra Renee Weaver | Psychologist | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-10 |
| 1750315321 | Judson Chase Mcgowan | Orthopaedic Surgery | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-10 |
| 1366474280 | Owen D. Murnane Jr. | Audiologist | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-07 |
| 1063443760 | Dianne Leslie Hansen | Psychiatry & Neurology | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-05 |
| 1255362828 | Gerald Steven Meredith | Nurse Practitioner | James H. Quillen/vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 | 2006-07-05 |
| 1831129147 | Thomas Payne Massello | Surgery | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684-4000 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| 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 |
|---|---|---|---|---|
| 1033501325 | Elizabeth Kolberg | Audiologist | Corner of Dogwood Avenue & 2nd Street, Audiology Research, Room Gb116, Mountain Home, TN 37684 | 2015-02-24 |
| 1245516798 | Kristal Mills Riska | Audiologist | James H Quillen Va Medical Center /lamont Street, Bldg 69--audiology 126, Mountain Home, TN 37684 | 2011-10-28 |
| 1861796344 | Jeanne Siler Lilly | Audiologist | 204 Dogwood Lane, Mountain Home, TN 37684-4000 | 2010-12-27 |
| 1730330820 | Stacy Elizabeth Helmert | Audiologist | 860 Highway 62 E Ste 8, Mountain Home, AR 72653-3276 | 2008-10-07 |
| 1902814940 | Daniel Allen Bell | Audiologist | Mountain Home Vamc-126, Mountain Home, TN 37684 | 2006-08-04 |
| 1174550875 | Joanna Webster Tampas | Audiologist | Audiology 126, Mountain Home, TN 37684 | 2006-06-27 |
| 1114961869 | Faith Wurm Akin | Audiologist | Audiology (126), James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2006-06-15 |
| 1265487417 | Lawrence I Shotland | Audiologist | J. H. Quillen Vamc, Sidney and Lamont, Mountain Home, TN 37684 | 2006-05-24 |
| 1487608386 | Colleen Marie Noe | Audiologist | 204 Dogwood Ave, Audiology (126), Mountain Home, TN 37684 | 2006-05-22 |
| 1235183153 | Elizabeth Leigh-paffenroth | Audiologist | James H Quillen, Vamc Audiology 126, Mountain Home, TN 37684 | 2006-05-22 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
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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.