STACEY L BOLES (NPI# 1497927461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497927461 |
| Entity Type | Individual |
| Full Name | STACEY L BOLES |
| Credential | M.S., CCC-A |
| Practice Address |
18000 River Ave Noblesville IN 46062-8329 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3177736579 |
| Practice Fax Number | 3177764557 |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 23002258A | IN | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 23002258A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RR PTAN | P01027070 | 01 |
| Street Address |
18000 RIVER AVE |
| City | NOBLESVILLE |
| State | IN |
| Zip Code | 46062-8329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578542049 | Samuel A Harmon | Otolaryngology | 18000 River Ave, Noblesville, IN 46062-8329 | 2006-01-12 |
| 1861664831 | Ginger A Hamilton | Audiologist | 18000 River Ave, Noblesville, IN 46062-8329 | 2008-03-30 |
| 1124290192 | Anne M Smith | Audiologist | 18000 River Ave, Noblesville, IN 46062-8329 | 2008-03-30 |
| 1417903774 | Northeast Otolaryngology, P.C. | Otolaryngology | 18000 River Ave, Noblesville, IN 46062-8329 | 2006-05-26 |
| 1518928969 | David E Wilson | Otolaryngology | 18000 River Ave, Noblesville, IN 46062-8329 | 2006-03-28 |
| 1689635039 | Charlotte Marie Dugan | Otolaryngology | 18000 River Ave, Noblesville, IN 46062-8329 | 2006-03-28 |
| 1538131115 | Jeffrey David Orcutt | Audiologist | 18000 River Ave, Noblesville, IN 46062-8329 | 2006-02-07 |
| 1649241183 | Matthew Bruns | Otolaryngology | 18000 River Ave, Noblesville, IN 46062-8329 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335457 | Taylor Lynn Ellis | Social Worker | 1212 Westfield Road, Noblesville, IN 46062 | 2020-04-25 |
| 1902464357 | Valerie M Eibling | Dentist | 17567 River Avenue, Noblesville, IN 46062 | 2019-05-31 |
| 1346752011 | Noblesville Dental Associates LLC | Dentist | 17567 River Ave., Noblesville, IN 46062 | 2017-11-02 |
| 1346643863 | Stephen Dale | Physical Therapist | 5695 Pebble Village Lane, Noblesville, IN 46062 | 2014-09-29 |
| 1124427018 | Kristin Marie Moon | Nurse Practitioner | 865 Westfield Rd., Suite D, Noblesville, IN 46062 | 2014-08-18 |
| 1205171071 | Dollia Marie Mickler | Physical Therapy Assistant | 102 Clarendon Dr Apt 303, Noblesville, IN 46062 | 2012-12-06 |
| 1114117405 | Robin I Raub | Dentist | 19405 Little Chicago Rd, Noblesville, IN 46062 | 2007-08-01 |
| 1346367166 | Delayne Marie Lefevre | Dentist | 5520 Pebble Village Lane, Ste 200, Noblesville, IN 46062 | 2007-03-25 |
| 1932274438 | Fve Mw LLC | Assisted Living Facility | 7235 Riverwalk Way North, Noblesville, IN 46062 | 2006-11-21 |
| 1184853202 | Navneet Lather | Internal Medicine | 17525 River Rd, Noblesville, IN 46062 | 2009-07-10 |
| Find all providers in zip 46062 | ||||
| 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 |
|---|---|---|---|---|
| 1891084893 | Hearing Lifestyles LLC | Audiologist | 162 Stony Creek Overlook, Noblesville, IN 46060-5430 | 2011-03-31 |
| 1962510156 | Terry Ann Engel | Audiologist | 18000 River Rd, Noblesville, IN 46062-8329 | 2006-08-28 |
| 1861664831 | Ginger A Hamilton | Audiologist | 18000 River Ave, Noblesville, IN 46062-8329 | 2008-03-30 |
| 1124290192 | Anne M Smith | Audiologist | 18000 River Ave, Noblesville, IN 46062-8329 | 2008-03-30 |
| 1629271945 | Mary M Mungovan | Audiologist | 18051 River Ave, Ste 104, Noblesville, IN 46062-7093 | 2007-06-06 |
| 1073715934 | Carey A Arnett | Audiologist | 18051 River Rd, Ste 104, Noblesville, IN 46062-7093 | 2007-06-04 |
| 1538131115 | Jeffrey David Orcutt | Audiologist | 18000 River Ave, Noblesville, IN 46062-8329 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922187 | Ryan David Leahy | Audiologist | 480 W Navajo St Ste A, West Lafayette, IN 47906-1940 | 2020-08-12 |
| 1720698558 | Shelby Zimmerman | Audiologist | 11725 Illinois St Ste 447, Carmel, IN 46032-3010 | 2020-08-06 |
| 1902441868 | Carolyn Herbert | Audiologist | 8330 Naab Rd Ste 235, Indianapolis, IN 46260-1932 | 2019-11-14 |
| 1518517002 | Katherine Noelle Griffith | Audiologist | 2421 Plum Woods Dr, Sellersburg, IN 47172-9081 | 2019-09-17 |
| 1548818131 | Allison Kern | Audiologist | 9106 N Meridian St Ste 200, Indianapolis, IN 46260-1826 | 2019-08-28 |
| 1508419359 | Barbara L Martig | Audiologist | 8425 Woodfield Crossing Blvd Ste 100, Indianapolis, IN 46240-7316 | 2019-07-22 |
| 1184286783 | Emily Elyse Brennecke | Audiologist | 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123-6913 | 2019-07-03 |
| 1952961591 | Sarah Jewel Gurnik | Audiologist | 2020 S State Road 135 Ste 200, Greenwood, IN 46143-6503 | 2019-06-17 |
| 1942869292 | Elizabeth Zuber | Audiologist | 9604 Coldwater Rd Ste 103, Fort Wayne, IN 46825-2096 | 2019-06-11 |
| 1225696875 | Angela Pollack | Audiologist | 201 N Illinois St Fl 16, Indianapolis, IN 46204-1904 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
| City | NOBLESVILLE |
| Zip Code | 46062 |
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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.