JKA5 ENTERPRISES (NPI# 1568869188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568869188 |
| Entity Type | Organization |
| Organization Name | JKA5 ENTERPRISES |
| Other Organization Name | AMDAHL HEARING |
| Practice Address |
2848 2nd St S 185 Saint Cloud MN 56301-4594 |
| Practice Telephone | 3202520094 |
| Mailing Telephone | 3202520094 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | KEVIN AMDAHL (OWNER) |
| Authorized Official Telephone | 6129644395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Amdahl Hearing | Doing Business As Name - Organization |
| Street Address |
2848 2ND ST S 185 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-4594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| 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 |
|---|---|---|---|---|
| 1477507788 | Sandy Lynn Peck | Audiologist | 1011 10 1/2 Ave S, Saint Cloud, MN 56301-5259 | 2006-05-20 |
| 1639777907 | Casandra Leigh Conlee | Audiologist | 1528 Northway Dr, Saint Cloud, MN 56303-1287 | 2020-10-09 |
| 1932718004 | Bradee Schiefelbein | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-07-24 |
| 1316467699 | Samantha Rae Reiter | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2017-06-27 |
| 1649641515 | Michael Blackburn | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2015-10-16 |
| 1295099463 | Megan Lappin | Audiologist | 4801 Veterans Dr, Building 29 Audiology, Saint Cloud, MN 56303-2015 | 2012-07-02 |
| 1417245051 | Carly Christine Busch | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2011-07-18 |
| 1669788055 | Kirsten M Andenas Aligada | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2010-08-24 |
| 1235378266 | Nickey S Martino | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2009-02-15 |
| 1831361195 | Alexandra R Borders | Audiologist | 1528 Northway Dr, Saint Cloud, MN 56303-1255 | 2008-03-27 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on JKA5 ENTERPRISES.
| 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.