DR. TRACI LEE WILKERSON (NPI# 1336342161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336342161 |
| Entity Type | Individual |
| Full Name | DR. TRACI LEE WILKERSON |
| Credential | AU.D. |
| Practice Address |
3312 W Okmulgee St Muskogee OK 74401-5069 |
| Practice Telephone | 9186821515 |
| Practice Fax Number | 9186821598 |
| Mailing Telephone | 9186821515 |
| Mailing Fax Number | 9186821598 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 231H00000X | Audiologist | 144 | OK | Speech, Language and Hearing Service Providers |
| X | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
144 | OK | Speech, Language and Hearing Service Providers |
| X | 237600000X | Audiologist-Hearing Aid Fitter | 144 | OK | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE RAILROAD | DC0957 | 01 |
| Street Address |
3312 W OKMULGEE ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861695611 | Traci L Wilkerson Aud Inc PC | Audiologist | 3312 W Okmulgee St, Muskogee, OK 74401-5069 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| 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 |
|---|---|---|---|---|
| 1962701045 | Mary Ellen Finerty | Audiologist | 3401 River Oaks Dr, Muskogee, OK 74403-2342 | 2011-03-15 |
| 1417900960 | Marcia Elaine Woodard | Audiologist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-18 |
| 1598718827 | Kenneth W. Owens | Audiologist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949590 | Blair Kathryn Hosier | Audiologist | 7614 E 91st St Ste 160, Tulsa, OK 74133-6047 | 2020-07-22 |
| 1164045399 | Gabrielle Ballard | Audiologist | 1200 Childrens Ave Ste 8c, Oklahoma City, OK 73104-4637 | 2020-05-21 |
| 1679195424 | Natalie A Dixon | Audiologist | 825 Ne 10th St # 4c, Oklahoma City, OK 73104-5417 | 2020-05-15 |
| 1932721917 | Danielle Knight | Audiologist | 2405 S Bryant Ave Ste 100, Edmond, OK 73013-6169 | 2020-05-12 |
| 1306342621 | Professional Hearing Healthcare PC | Audiologist | 5022 E 101st St, Tulsa, OK 74137-5803 | 2018-04-04 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1316469067 | Amber Emerson Runge | Audiologist | 825 Ne 10th St Ste 4c, Oklahoma City, OK 73104-5417 | 2017-07-14 |
| 1942739578 | Lauren S Main | Audiologist | 4564 S Harvard Ave Ste A, Tulsa, OK 74135-2918 | 2017-06-07 |
| 1558801654 | Desirae Webb | Audiologist | 5020 E. 68th Street, Tulsa, OK 74136-3356 | 2017-03-08 |
| 1013381565 | Calyn Cheyenne Russ | Audiologist | 3954 N Kickapoo Ave, Shawnee, OK 74804-1698 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
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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.