MIKAELA DOCENA LISING


Address: 11201 Benton St, Loma Linda, CA 92357-1000
Phone: 9098257084

MIKAELA DOCENA LISING (NPI# 1629611439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629611439
Entity Type Individual
Full Name MIKAELA DOCENA LISING
Practice Address 11201 Benton St
Loma Linda
CA 92357-1000
Mailing Address 1555 Orange Ave Unit 702
Redlands
CA 92373-1455
Practice Telephone 9098257084
Enumeration Date 2019-10-24
Last Update Date 2019-10-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 3457 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 11201 BENTON ST
City LOMA LINDA
State CA
Zip Code 92357-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841290558 Russell Evan Hoxie Jr. Internal Medicine 11201 Benton St, Loma Linda, CA 92357-1000 2005-07-22
1104435643 Megan Satre Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-30
1972111862 Aileen Nati Ludesirishoti Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-17
1649894551 Bryan Lamont Brewer Social Worker 11201 Benton St, Loma Linda, CA 92357-1000 2020-06-05
1518580497 Nicole Kaye Whittle Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-26
1629690375 Kevin Alan Cox Student in an Organized Health Care Education/Training Program 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-15
1033731443 Joni Lynn Stanton Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-08
1134748536 Abednego Tamba Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-04-15
1447885884 Zachary Michael Cruz Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-03-05
1972141695 Tanya Lengvilas Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2019-12-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679916027 Nicole Kristine Shah-ghassemzadeh Internal Medicine Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 2013-04-16
1760628598 Taranjit Natt Internal Medicine 11201 Benton St # 111-om, Loma Linda, CA 92357 2008-12-29
1548355076 Annette A Boyd -hampton Nurse Practitioner 11201 Benton St. -111g, Loma Linda, CA 92357 2006-10-03
1396830766 Maudie Cantrell Foy Nurse Practitioner 11201 Benton St. (11cp), Loma Linda, CA 92357 2006-10-03
1427154715 Kenneth Wong Pharmacist 11201 Benton St. (119), Loma Linda, CA 92357 2006-09-15
1801909577 Paul Lindberg Orthotist 11201 Benton St./121, Loma Linda, CA 92357 2006-08-16
1992728703 Harry Chen Pharmacist 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 2006-07-25
1699222661 Nathanial Benjaman Hawkins Psychologist 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 2016-09-07
1063877959 Irene Thung Pathology 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 2015-12-21
1033553375 Brian Chau Physical Medicine & Rehabilitation 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 2013-04-17
Find all providers in zip 92357

Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396074795 O'neil W. Guthrie Audiologist Loma Linda Va Hospital 151, 11201 Benton Street, Loma Linda, CA 92357-0001 2009-12-14
1376554014 Michael Joseph Foley Audiologist 25590 Prospect Ave, Apt 26b, Loma Linda, CA 92354-3141 2006-08-10
1104435643 Megan Satre Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-30
1518580497 Nicole Kaye Whittle Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-26
1164088787 Andrea Kottlowski Audiologist 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 2019-05-20
1467939702 Rachel Chu Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2018-07-19
1356835193 Charles Matthew Bishop Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2018-06-15
1154846897 Ian Boyle Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2017-08-03
1194278150 Kelsey Williams Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2016-07-26
1346642840 Ashley Page Audiologist 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 2014-09-16
Find all providers in LOMA LINDA

Competitor

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City LOMA LINDA
Zip Code 92357

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Dataset Information

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.

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