JOELLE PETERSON (NPI# 1417422445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417422445 |
| Entity Type | Individual |
| Full Name | JOELLE PETERSON |
| Practice Address |
12925 16th Ave N Plymouth MN 55441-4560 |
| Practice Telephone | 7637456053 |
| Practice Fax Number | 7637455059 |
| Mailing Telephone | 7637456053 |
| Mailing Fax Number | 7637455059 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 10174 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
12925 16TH AVE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| 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 |
|---|---|---|---|---|
| 1558848325 | Timothy Kuckuk | Audiologist | N6444 Riverview Rd, Plymouth, WI 53073-3507 | 2018-07-25 |
| 1518118439 | Dempesy Audiology LLC Dba All Ears Hearing Center | Audiologist | 59 Industrial Park Rd., Plymouth, MA 02360-4868 | 2008-10-09 |
| 1609804889 | Amy Elizabeth Arnold | Audiologist | 705 S Main St Ste 101, Plymouth, MI 48170-1060 | 2006-06-28 |
| 1285670547 | Courtney Stone | Audiologist | 3030 Harbor Ln N, Ste 227, Plymouth, MN 55447-5157 | 2006-06-22 |
| 1649211863 | Pamela A Shafer | Audiologist | 412 Webster Ave, Plymouth, IN 46563-2751 | 2006-06-09 |
| 1477540755 | All Ears Hearing Center Inc | Audiologist | 59 Industrial Park Rd, Plymouth, MA 02360-4870 | 2005-10-03 |
| 1659366532 | Shirley Ann Fors | Audiologist | 12800 Industrial Park Blvd, #105, Plymouth, MN 55441-3974 | 2005-09-15 |
| 1871119503 | Sarah Lauren Cohen | Audiologist | 30 Aldrin Rd, Plymouth, MA 02360-4804 | 2020-06-18 |
| 1447758750 | Berger Audiology | Audiologist | 2930 Miller Dr, Plymouth, IN 46563-8083 | 2018-02-01 |
| 1306360276 | Megan Lewis | Audiologist | 30 Aldrin Rd, Plymouth, MA 02360-4804 | 2017-08-01 |
| Find all providers in PLYMOUTH | ||||
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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.