JENNIFER WICKESBERG (NPI# 1497716773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497716773 |
| Entity Type | Individual |
| Full Name | JENNIFER WICKESBERG |
| Credential | AU.D. |
| Practice Address |
3636 W Dallas St Houston TX 77019-1704 |
| Mailing Address |
1417 Houston Ave Houston TX 77007-6237 |
| Practice Telephone | 7135234722 |
| Practice Fax Number | 7135238399 |
| Mailing Telephone | 7135233633 |
| Mailing Fax Number | 7135238399 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 51231 | TX | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 51231 | TX | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 51231 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 167277601 | 05 | |
| TX | 167277603 | 05 | |
| TX | 167277602 | 05 | |
| TX | 167277604 | 05 | |
| TX | 167277605 | 05 |
| Street Address |
3636 W DALLAS ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77019-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891210233 | Claudia Hanford | Speech-Language Pathologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2017-08-07 |
| 1861927162 | Amy Huddleston | Speech-Language Pathologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2017-04-24 |
| 1164977856 | Haley Athey | Audiologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2016-08-23 |
| 1396110896 | Lauren Siler | Speech-Language Pathologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2015-12-09 |
| 1447627278 | Crystal Sirl | Speech-Language Pathologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2015-08-27 |
| 1831508712 | Margaret Hill | Audiologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2014-08-05 |
| 1730516899 | Julie Rene Cordell | Audiologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2013-10-03 |
| 1235474669 | Peyton Stephens | Speech-Language Pathologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2012-12-12 |
| 1497001861 | Leslie A Parks | Speech-Language Pathologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2012-08-03 |
| 1811251564 | Jessica Spiro | Audiologist | 3636 W Dallas St, Houston, TX 77019-1704 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337802 | Phong Vo | Social Worker | 1501 Crocker Street, Suite Two, Houston, TX 77019 | 2020-02-08 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1619445368 | Comfort Bosede Sofayo | Nurse Practitioner | 2506 Kingston St, Apt 2, Houston, TX 77019 | 2018-11-09 |
| 1659866366 | Dena Furman | Dietitian, Registered | 2221 W Dallas St Apt 381, Houston, TX 77019 | 2018-06-25 |
| 1255844494 | Kandi Denise Gamble | Licensed Practical Nurse | 1900 West Gray St, 130732, Houston, TX 77019 | 2017-11-09 |
| 1437668217 | Lawanda Hill | Psychologist | 2514 Kingston Street, Unit One, Houston, TX 77019 | 2017-09-25 |
| 1841715034 | The Vitalus Group LLC | Clinical Medical Laboratory | 2727 Allen Parkway Suite 1915, Houston, TX 77019 | 2017-08-08 |
| 1952825960 | Krista Bryla | Dietitian, Registered | 2027 Woodhead St, Houston, TX 77019 | 2017-08-01 |
| 1770015745 | George Ross Malik | Physical Medicine & Rehabilitation | 1005 S Shepherd Dr, Apt 412, Houston, TX 77019 | 2017-03-29 |
| 1437601390 | Montrose Eye Care, Pllc | Optometrist | 520 Waugh Dr, Houston, TX 77019 | 2016-10-26 |
| Find all providers in zip 77019 | ||||
| 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 |
|---|---|---|---|---|
| 1578175980 | Audrey Breanne Hiner | Audiologist | 8731 Katy Fwy Ste 200, Houston, TX 77024-1735 | 2020-08-18 |
| 1518524404 | James Connor Sullivan | Audiologist | 1977 Butler Blvd Ste E5100, Houston, TX 77030-4101 | 2019-05-26 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1114423795 | Corryn Lea Richardson | Audiologist | 2500 Tanglewilde St Ste 160, Houston, TX 77063-2123 | 2018-04-03 |
| 1184132516 | Morgan White | Audiologist | 18200 Katy Fwy Fl 4, Houston, TX 77094-1285 | 2018-01-19 |
| 1649794306 | Conner Haring | Audiologist | 6701 Fannin St Fl 5, Houston, TX 77030-2608 | 2017-08-02 |
| 1598121071 | Meredith Hobgood | Audiologist | 1110 E 27th St, Houston, TX 77009-1104 | 2016-01-13 |
| 1083055107 | Allison Audiology & Hearing Aid Center PC | Audiologist | 12900 Queensbury Ln, Ste 100, Houston, TX 77079-3713 | 2013-07-17 |
| 1760823678 | Deyanira Gonzalez | Audiologist | 1977 Butler Blvd Ste E5.100, Houston, TX 77030 | 2013-07-09 |
| 1700224607 | Shelby Seeberg Mccann | Audiologist | 26620 Interstate 45 N, Houston, TX 77386 | 2013-06-13 |
| Find all providers in HOUSTON | ||||
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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.