SUSAN MATTHIESEN


Address: 2422 20th St Sw, Jamestown, ND 58401-6201
Phone: 7012521050

SUSAN MATTHIESEN (NPI# 1467406652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467406652
Entity Type Individual
Full Name SUSAN MATTHIESEN
Practice Address 2422 20th St Sw
Jamestown
ND 58401-6201
Practice Telephone 7012521050
Practice Fax Number 7019523265
Mailing Telephone 7012521050
Mailing Fax Number 7019523265
Enumeration Date 2006-05-20
Last Update Date 2011-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 500 ND Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND BLUE SHIELD 14484 01
MEDICA 4500069 01
PREFERRED ONE 1006908 01
HEALTH PARTNERS HP42264 01
ND 50403 05

Office Location

Street Address 2422 20TH ST SW
City JAMESTOWN
State ND
Zip Code 58401-6201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427058676 Michael T Dean Orthopaedic Surgery 2422 20th St Sw, Jamestown, ND 58401-6201 2005-07-29
1831757632 Laura Ann Bond Nurse Practitioner 2422 20th St Sw, Jamestown, ND 58401-6201 2019-06-05
1285299586 Shelby Lyn Jager Physical Therapist 2422 20th St Sw, Jamestown, ND 58401-6201 2019-05-02
1174097364 Brian Ament Pharmacist 2422 20th St Sw, Jamestown, ND 58401-6201 2019-01-22
1841763232 Allyssa Ann Leininger Nurse Anesthetist, Certified Registered 2422 20th St Sw, Jamestown, ND 58401-6201 2019-01-08
1790253433 Holly Kiehl Dietitian, Registered 2422 20th St Sw, Jamestown, ND 58401-6201 2018-11-12
1578045456 Crystal Marie Krapp Nurse Practitioner 2422 20th St Sw, Jamestown, ND 58401-6201 2018-09-06
1780179572 Lauren Burningham Speech-Language Pathologist 2422 20th St Sw, Jamestown, ND 58401-6201 2018-06-25
1649760737 Kayla Willer Physical Therapist 2422 20th St Sw, Jamestown, ND 58401-6201 2018-05-14
1912496688 Sarah Lynn Redding Occupational Therapist 2422 20th St Sw, Jamestown, ND 58401-6201 2018-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396343737 Face and Jaw Surgeons PC Dentist 1517 12 Ave Ne, Jamestown, ND 58401 2020-10-16
1194216481 Richard Yonick Case Manager/Care Coordinator South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 2018-05-23
1831607910 Creative Journey, LLC Clinic/Center 429 2nd St Sw Ste 205, Jamestown, ND 58401 2018-01-11
1619399334 Stutsman County Social Services Case Manager/Care Coordinator 116 1st Street East, Jamestown, ND 58401 2014-01-15
1073945176 Sarah Walker Pharmacist 410 10th Street Se, Suite 8, Jamestown, ND 58401 2013-07-31
1811339369 Yvette D Patrick Occupational Therapist 207 2nd Avenue Se, Jamestown, ND 58401 2013-07-25
1144582933 Anne Carlsen Center Intermediate Care Facility, Mentally Retarded 701 3rd Steeet Nw, Jamestown, ND 58401 2012-06-08
1407008360 Jacob Dale Reinarts Counselor 2504 Circle Dr # 58401, Jamestown, ND 58401 2008-10-22
1548426430 Shipley Basic Care Alzheimer Center (Dementia Center) 1505 3 St Se, Jamestown, ND 58401 2008-07-31
1831384445 Drake Counseling Services Clinic/Center 1210 13th Ave Sw, Jamestown, ND 58401 2007-09-07
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578982039 Camille Lynn Steele Audiologist 836 Fairmont Ave, Jamestown, NY 14701 2014-04-14
1902830821 Leslie Anne Stone Audiologist 560 West 3rd Street, Jamestown, NY 14701 2006-07-10
1285610873 Western New York Hearing Services Inc Audiologist 110 West 2nd St, Jamestown, NY 14701 2005-12-16
1023512571 Lauren Elizabeth Dubyne Audiologist 207 Foote Ave, Jamestown, NY 14701-7077 2018-03-20
1285184879 Marissa Marie Leese Audiologist 2422 20th St Sw, Jamestown, ND 58401-6201 2016-10-07
1518114636 Nancy Ann Anderson Audiologist 207 Foote Ave, Dept. of Speech and Hearing, Jamestown, NY 14701-7077 2008-08-20
1841456266 Laurie K White Bedient Audiologist 207 Foote Ave, Jamestown, NY 14701-7077 2008-08-05
1295991610 Robert M Piede Audiologist 207 Foote Ave, Jamestown, NY 14701-7077 2008-08-05
1285830455 Melissa M Ollie Audiologist 701 3rd St Nw, Jamestown, ND 58401-2963 2007-06-25
1578661229 Douglas D Schauer Audiologist 300 2nd Ave Ne, Jamestown, ND 58401-3373 2006-09-20
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Competitor

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City JAMESTOWN
Zip Code 58401

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Dataset Information

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.

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