DR. SARA MICHELLE BODACK (NPI# 1356573356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356573356 |
| Entity Type | Individual |
| Full Name | DR. SARA MICHELLE BODACK |
| Credential | AU.D. |
| Practice Address |
2525 Ne 139th St Ste 230 Vancouver WA 98686-2719 |
| Mailing Address |
Po Box 4825 Portland OR 97208-4825 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041673 |
| Mailing Telephone | 3608822778 |
| Mailing Fax Number | 3606041771 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | LD60953985 | WA | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 80250 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2138409 | 05 | |
| TX | 208820501 | 05 | |
| TX | RAILROAD | P008004030 | 01 |
| Street Address |
2525 NE 139TH ST STE 230 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821115064 | Elaheh N. Tehranchi | Internal Medicine | 2525 Ne 139th St Ste 230, Vancouver, WA 98686 | 2007-03-23 |
| 1083076178 | Nashreen Anderson | Internal Medicine | 2525 Ne 139th St Ste 230, Vancouver, WA 98686-2719 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| 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 |
|---|---|---|---|---|
| 1780034637 | Kristen Furseth | Audiologist | 14602 Ne Fourth Plain Blvd, Suite H, Vancouver, WA 98682-5000 | 2016-06-21 |
| 1871932418 | Lisa Batterton | Audiologist | 203 Se Park Plaza Dr Ste 290, Vancouver, WA 98684-3401 | 2013-06-17 |
| 1588810238 | R.j.s. Acoustic Services, Inc | Audiologist | 12313 Ne 99th St, Vancouver, WA 98682-2418 | 2008-08-13 |
| 1942410634 | Jeffrey Lee Garnett | Audiologist | 16209 Se Mcgillivray Blvd, Suite M, Vancouver, WA 98683-9034 | 2007-05-23 |
| 1316423064 | Hearing Center of Vancouver LLC | Audiologist | 16320 Se Mill Plain Blvd Ste 103, Vancouver, WA 98684-8918 | 2018-07-16 |
| 1487171070 | Nicole Renee Fox | Audiologist | 14411 Ne 20th Ave Ste 101, Vancouver, WA 98686-6432 | 2017-08-24 |
| 1033520754 | Kalani Jane Cox | Audiologist | 611 Grand Blvd, Vancouver, WA 98661-4918 | 2014-05-15 |
| 1649521899 | Jeffrey Lee Garnett | Audiologist | 16209 Se Mcgillivray Blvd, Ste M, Vancouver, WA 98683-9034 | 2012-09-27 |
| 1194094979 | Christopher Kyle Cox | Audiologist | 11201 Ne 9th St, Ste 300, Vancouver, WA 98684-5964 | 2011-12-22 |
| 1497054290 | Caitlin Jean Fernhoff | Audiologist | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2011-03-18 |
| Find all providers in VANCOUVER | ||||
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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.