MRS. MANDY KAY CORDRAY (NPI# 1568924405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568924405 |
| Entity Type | Individual |
| Full Name | MRS. MANDY KAY CORDRAY |
| Credential | CNA |
| Practice Address |
1201 Woodlawn Rd Lincoln IL 62656-9770 |
| Practice Telephone | 2177353573 |
| Practice Fax Number | 2177355106 |
| Mailing Telephone | 2177353573 |
| Mailing Fax Number | 2177355106 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 0873 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
1201 WOODLAWN RD |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-9770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558566307 | Joyce Jane Dearth | Hearing Instrument Specialist | 1201 Woodlawn Rd, Lincoln, IL 62656-9770 | 2007-06-20 |
| 1467914309 | Donald T. Dearth | Hearing Instrument Specialist | 1201 Woodlawn Rd, Lincoln, IL 62656-9770 | 2019-04-01 |
| 1407292493 | The Hearing Aid Center | Hearing Instrument Specialist | 1201 Woodlawn Rd, Lincoln, IL 62656-9770 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558805085 | Frank Professional Group PC | Hearing Instrument Specialist | 333 S 70th Street, Suite 101, Lincoln, NE 68510 | 2016-12-19 |
| 1306200589 | Todd Anthony Gutzmer | Hearing Instrument Specialist | 3031 O St Ste 104, Lincoln, NE 68510-1512 | 2016-04-13 |
| 1598148322 | Hometown Hearing & Audiology, Inc. | Hearing Instrument Specialist | 3825 Vermaas Pl, B, Lincoln, NE 68502-5641 | 2015-06-29 |
| 1295083749 | Jason F. Vanier | Hearing Instrument Specialist | 25 S Mountain Rd Unit A2-2, Lincoln, NH 03251-4268 | 2012-08-15 |
| 1558566307 | Joyce Jane Dearth | Hearing Instrument Specialist | 1201 Woodlawn Rd, Lincoln, IL 62656-9770 | 2007-06-20 |
| 1033727680 | Vanier Hearing Center LLC | Hearing Instrument Specialist | 25 S Mountain Rd Unit A2-2, Lincoln, NH 03251-4268 | 2020-07-20 |
| 1396370284 | Sara Susan Dacey | Hearing Instrument Specialist | 6 Blackstone Valley Pl Ste 307, Lincoln, RI 02865-1112 | 2020-03-11 |
| 1467914309 | Donald T. Dearth | Hearing Instrument Specialist | 1201 Woodlawn Rd, Lincoln, IL 62656-9770 | 2019-04-01 |
| 1134671571 | Robert Bennett | Hearing Instrument Specialist | 805 Twelve Bridges Dr Ste 25, Lincoln, CA 95648-8811 | 2016-11-02 |
| 1134507445 | Robyn Flammang | Hearing Instrument Specialist | 3901 Pine Lake Rd, #217, Lincoln, NE 68516-5497 | 2015-05-07 |
| Find all providers in LINCOLN | ||||
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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.