MICHELLE ANN ICKES (NPI# 1417906694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417906694 |
Entity Type | Individual |
Full Name | MICHELLE ANN ICKES |
Credential | PH.D. |
Practice Address |
2030 Colonial Ave Sw Roanoke VA 24015-3204 |
Mailing Address |
Po Box 98 White Sulphur Springs WV 24986-0098 |
Practice Telephone | 5403430165 |
Mailing Telephone | 3045365030 |
Mailing Fax Number | 3045365031 |
Enumeration Date | 2006-05-08 |
Last Update Date | 2016-03-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 2201000510 | VA | Speech, Language and Hearing Service Providers |
Street Address |
2030 COLONIAL AVE SW |
City | ROANOKE |
State | VA |
Zip Code | 24015-3204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043696578 | Rebecca Lynn Vaughan | Speech-Language Pathologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2015-08-06 |
1982952743 | Janet Hillyard | Speech-Language Pathologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2012-08-27 |
1295099810 | Leslie M Berger | Speech-Language Pathologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2012-06-28 |
1225338015 | Janet E Miller | Speech-Language Pathologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2010-10-26 |
1386837250 | Roanoke Valley Speech and Hearing Center, Inc. | Audiologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2007-08-23 |
1477601482 | Roanoke Valley Speech and Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2007-01-08 |
1396821328 | Elizabeth A Griffin | Speech-Language Pathologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2006-10-31 |
1952487746 | Linda C Dellis | Audiologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2006-10-27 |
1801972617 | Carrie D Miller | Audiologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2006-10-27 |
1750467536 | Emily H Wycoff | Speech-Language Pathologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2006-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
Find all providers in zip 24015 |
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 |
---|---|---|---|---|
1043695661 | Kevin E Mccurdy | Audiologist | 325 Elm Ave Se, Roanoke, VA 24013-1723 | 2015-07-24 |
1548258478 | Douglas R Cameron | Audiologist | 2155 Electric Rd, Suite C, Roanoke, VA 24018-2302 | 2005-10-13 |
1689231847 | Ashley Light | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2019-05-23 |
1992281877 | Corinne O'shaughnessy | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-07-13 |
1932465705 | Dgs Audiology, Inc. | Audiologist | 2149 Electric Rd, Suite 8, Roanoke, VA 24018-1975 | 2012-04-06 |
1063708204 | Kristina S Miller | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2011-06-27 |
1386837250 | Roanoke Valley Speech and Hearing Center, Inc. | Audiologist | 2030 Colonial Ave Sw, Roanoke, VA 24015-3204 | 2007-08-23 |
1457542086 | Kara Kristin Norcross | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2007-08-08 |
1992832703 | Lillian B Beahm | Audiologist | 102 Highland Ave Se, Roanoke, VA 24013-2256 | 2007-02-28 |
1174680136 | Tammy Brooks Garber | Audiologist | 2155 Electric Rd, Suite C, Roanoke, VA 24018-2302 | 2007-01-02 |
Find all providers in ROANOKE |
Please comment or provide details below to improve the information on MICHELLE ANN ICKES.
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.