DR. GINA MACKENZIE WOLFGRAM (NPI# 1376985077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376985077 |
| Entity Type | Individual |
| Full Name | DR. GINA MACKENZIE WOLFGRAM |
| Credential | AU.D. |
| Practice Address |
5565 Blaine Ave Ste 225 Inver Grove Heights MN 55076-1239 |
| Practice Telephone | 6518887803 |
| Practice Fax Number | 6518887803 |
| Mailing Telephone | (651) 888-7800 |
| Mailing Fax Number | 6518887801 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 8886 | MN | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 8886 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
5565 BLAINE AVE STE 225 |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55076-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902190200 | Scott H Hagans | Hearing Instrument Specialist | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2011-06-03 |
| 1033718150 | Michaela Nikolai | Audiologist | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2020-10-20 |
| 1467061085 | Mary Theresa Trainor | Audiologist | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2020-07-29 |
| 1730720442 | Melissa Ann Crawford | Physician Assistant | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2019-10-03 |
| 1831656396 | Lisa Kippley | Physician Assistant | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2019-02-20 |
| 1689195422 | Kimberly Lee | Audiologist | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2017-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582855 | Pediatric Therapy Options, LLC | Occupational Therapist | 2865 Upper 62nd St E, Inver Grove Heights, MN 55076 | 2019-01-15 |
| 1104316942 | Connie Ann Stoltz | Health Educator | 3837 73rd St E, Inver Grove Heights, MN 55076 | 2018-05-17 |
| 1457888638 | Andrew Eccles | Physical Therapist | 5836 Blaine Ave, Inver Grove Heights, MN 55076 | 2017-05-18 |
| 1760805261 | Melissa Schmidt Heinonen | Nurse Practitioner | 5975 Carmen Ave E, Dakota Pediatrics, Inver Grove Heights, MN 55076 | 2014-02-04 |
| 1346382017 | Karen Marcus Sames | Occupational Therapist | 5695 Blaine Ave., Inver Grove Heights, MN 55076 | 2007-02-12 |
| 1386785525 | Robert Stephen Roloff | Chiropractor | 2940 65th Street East, Inver Grove Heights, MN 55076 | 2007-02-09 |
| 1013002583 | Michael Ward | Psychologist | 6775 Cahill Ave, Inver Grove Heights, MN 55076 | 2006-10-03 |
| 1083227573 | Megan Stumpf | Speech-Language Pathologist | 2925 Buckley Way, Inver Grove Heights, MN 55076 | 2020-08-25 |
| 1336638097 | Lynsey R Miron | Psychologist | 5838 Blackshire Path, Inver Grove Heights, MN 55076 | 2018-05-08 |
| 1346474509 | Kathleen Grennan Hopkins | Family Medicine | 5565 Blaine Avenue, Allina Health Inver Grove Heights Clinic, Inver Grove Heights, MN 55076 | 2009-05-04 |
| Find all providers in zip 55076 | ||||
| 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 |
|---|---|---|---|---|
| 1033718150 | Michaela Nikolai | Audiologist | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2020-10-20 |
| 1467061085 | Mary Theresa Trainor | Audiologist | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2020-07-29 |
| 1689195422 | Kimberly Lee | Audiologist | 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | 2017-07-02 |
| 1336517432 | Alexandra Elena Edwards | Audiologist | 5565 Blaine Ave, Suite 225 and Suite 275, Inver Grove Heights, MN 55076-1238 | 2015-09-04 |
| 1407284375 | Kylie Sandor | Audiologist | 5565 Blaine Ave, Inver Grove Heights, MN 55076-1238 | 2013-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839715 | Thomas J Tedeschi | Audiologist | 150 S 5th St Ste 2300, Minneapolis, MN 55402-4223 | 2020-04-13 |
| 1902435514 | Robert Lang | Audiologist | 1597 Park Ave, White Bear Lake, MN 55110-3704 | 2020-04-06 |
| 1528625290 | Kara Rae Balken | Audiologist | 7300 France Ave S Ste 101, Edina, MN 55435-4525 | 2019-05-28 |
| 1538724612 | Elizabeth Mary Butler | Audiologist | 1155 E County Road E, Ste 100, Minneapolis, MN 55110-5191 | 2019-05-05 |
| 1417422445 | Joelle Peterson | Audiologist | 12925 16th Ave N, Plymouth, MN 55441-4560 | 2018-10-05 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1700313681 | Hannah Catherine Erickson Herd | Audiologist | 701 25th Ave S Fl 2, Minneapolis, MN 55454 | 2017-05-22 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1457711327 | Reynolds Audiology LLC | Audiologist | 2155 Woodlane Drive, Suite 103, Woodbury, MN 55125-3049 | 2016-03-04 |
| Find all providers with the same taxonomy | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55076 |
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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.