PINE RIVER INC. (NPI# 1639394117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639394117 |
| Entity Type | Organization |
| Organization Name | PINE RIVER INC. |
| Other Organization Name | HEARING SERVICES |
| Practice Address |
1620 Pennsylvania Ave Ste D Fairfield CA 94533 |
| Mailing Address |
1620 Pennsylvania Ave Ste D Fairfield CA 94533-3509 |
| Practice Telephone | 7074264327 |
| Practice Fax Number | 7074265190 |
| Mailing Telephone | 7074264327 |
| Mailing Fax Number | 7074265190 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | MS. DENISE MARTIN-SAHIM (OWNER) |
| Authorized Official Telephone | 7074264327 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AU0004410 | 05 |
| Other Name | Type Code |
|---|---|
| HEARING SERVICES | Doing Business As Name - Organization |
| Street Address |
1620 PENNSYLVANIA AVE STE D |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730261488 | Padma Dasari | Family Medicine | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2006-10-20 |
| 1528696465 | Monica A Guerrero Lara | Audiologist | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2020-03-27 |
| 1396257275 | Felicia Rose Nepomuceno | Audiologist | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2017-10-31 |
| 1598126161 | Pine River Inc | Audiologist-Hearing Aid Fitter | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1093945032 | Taronda Clark | Audiologist | 2960 Mack Rd Ste 205, Fairfield, OH 45014-5300 | 2009-07-24 |
| 1780690701 | Ellen L Anderson | Audiologist | 1287 Oliver Rd, Fairfield, CA 94534-3468 | 2006-07-31 |
| 1205890852 | Heidi Guzik | Audiologist | 1305 Post Road Suite 302, Richard Levin Md & Lawrence J. Fliegelmon Md LLC, Fairfield, CT 06824 | 2006-04-12 |
| 1457353484 | Mel Keith Gross | Audiologist | 1251 Nilles Rd, Ste 7, Fairfield, OH 45014-7206 | 2005-08-10 |
| 1528696465 | Monica A Guerrero Lara | Audiologist | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2020-03-27 |
| 1205473626 | Marilyn Tutt | Audiologist | 5380 Pleasant Ave Ste 1b, Fairfield, OH 45014-3500 | 2019-12-04 |
| 1396257275 | Felicia Rose Nepomuceno | Audiologist | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2017-10-31 |
| 1144750910 | Garrett Mayhugh | Audiologist | 5380 Pleasant Ave Ste 1b, Fairfield, OH 45014 | 2017-06-14 |
| 1376874529 | Jamie Diane Perro | Audiologist | 1287 Oliver Rd, Fairfield, CA 94534-3468 | 2010-01-27 |
| 1619138161 | Susan Bennett | Audiologist | 1305 Post Rd, Suite 302, Fairfield, CT 06824-6016 | 2008-06-18 |
| Find all providers in FAIRFIELD | ||||
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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.