MRS. MARIA THERESA MIDDLEBY (NPI# 1619018876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619018876 |
| Entity Type | Individual |
| Full Name | MRS. MARIA THERESA MIDDLEBY |
| Other Name | MISS MARIA THERESA LEONBRUNO |
| Credential | MS CCCA NY STATE LIC |
| Practice Address |
624 Black River Blvd Rome NY 13440-4326 |
| Practice Telephone | 3153367250 |
| Practice Fax Number | 3153367254 |
| Mailing Telephone | 3153367250 |
| Mailing Fax Number | 3153367254 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 231H00000X | Audiologist | 000784 | NY | Speech, Language and Hearing Service Providers |
| X | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
14000005549 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01140050 | 05 |
| Street Address |
624 BLACK RIVER BLVD |
| City | ROME |
| State | NY |
| Zip Code | 13440-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1730541210 | Michelle Waters Ritchey | Audiologist | 8 Birchfield Dr Ne, Rome, GA 30165-9000 | 2016-03-24 |
| 1851394324 | Hearing and Balance Healthcare, Inc. | Audiologist | 160 Three Rivers Dr Ne, Ste 800, Rome, GA 30161-2305 | 2005-05-27 |
| 1134642564 | Sarah Elizabeth Canessa | Audiologist | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2017-07-18 |
| 1093175143 | Gina Elizabeth Robinson | Audiologist | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2016-03-02 |
| 1821490087 | Sabrina Faith Lawley | Audiologist | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2014-09-19 |
| 1730506148 | Bayle Dawn Anderson | Audiologist | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2014-03-24 |
| 1578990297 | Melissa Kelly Carter | Audiologist | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2013-09-27 |
| 1013046010 | Maryanne M Willett | Audiologist | 801 Cypress St, Rome, NY 13440-2129 | 2007-03-05 |
| 1104954247 | Debra J Quattrini | Audiologist | 801 Cypress St, Rome, NY 13440-2129 | 2007-03-01 |
| 1538204409 | Lana C Swope | Audiologist | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2007-02-20 |
| Find all providers in ROME | ||||
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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.