MRS. MICHELLE WALLER (NPI# 1629169800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629169800 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE WALLER |
| Other Name | MRS. MICHELLE COPPOLA |
| Credential | M.A.CCC-A |
| Practice Address |
375 East Main Street Ste. 17 Bayshore NY 11706 |
| Mailing Address |
251 Lyman Rd East Patchogue NY 11772-6249 |
| Practice Telephone | 6316656922 |
| Mailing Telephone | 6312869366 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 002098-1 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023479441 | Michelle A. A. Waller | Counselor | 16707 Se 35th St, Bellevue, WA 98008-5800 | 2016-03-12 |
| 1942728621 | Michelle Waller | Behavior Technician | 1420 Carlisle Blvd Ne Ste 100, Albuquerque, NM 87110-5662 | 2017-09-01 |
| 1053738146 | Michelle Waller | Registered Nurse | 544 E Woodruff Ave, Toledo, OH 43604-5342 | 2014-03-26 |
| 1275585978 | Michelle Waller | Family Medicine | 26659 Pleasant Park Rd, Conifer, CO 80433-7714 | 2006-05-17 |
| Street Address |
375 EAST MAIN STREET STE. 17 |
| City | BAYSHORE |
| State | NY |
| Zip Code | 11706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| 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 |
|---|---|---|---|---|
| 1831790765 | Vasilia Kalliopi Meskouris | Audiologist | 1019 Olympia Rd Fl 1, North Bellmore, NY 11710-1938 | 2020-11-06 |
| 1104427541 | Rachel Lynn Miller | Audiologist | 11 Montana Pl, Brooklyn, NY 11234-6912 | 2020-11-03 |
| 1255931309 | Ariel Monserrate | Audiologist | 445 Lenox Rd Ste J, Brooklyn, NY 11203-2017 | 2020-10-28 |
| 1770181398 | Nicole Ashley Delledonne | Audiologist | 17 Harness Ln, Levittown, NY 11756-1018 | 2020-10-15 |
| 1225644248 | Danilova Rufina Yakubov Audiology Hearing Professional Corporation | Audiologist | 156 William St Frnt 1, New York, NY 10038-2609 | 2020-09-16 |
| 1518571058 | Piera P D'armetta | Audiologist | 3601 Hempstead Tpke Ste 201, Levittown, NY 11756-1331 | 2020-09-02 |
| 1114530961 | Lambert Lee | Audiologist | 139 Centre St Ste 803, New York, NY 10013-4558 | 2020-08-30 |
| 1174136188 | Alexa Brody | Audiologist | 220 72nd St Apt A4, Brooklyn, NY 11209-2140 | 2020-08-28 |
| 1285246900 | Lindsay J Saltsman | Audiologist | 395 West St., Suite 301, Canandaigua, NY 14424-1789 | 2020-08-24 |
| 1982215240 | Sandra Josephine Mayer | Audiologist | 10 Mckown Rd Ste 200, Albany, NY 12203-3496 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.