GINA M WENDRICKS (NPI# 1639466295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639466295 |
| Entity Type | Individual |
| Full Name | GINA M WENDRICKS |
| Credential | AUD |
| Practice Address |
2200 Nw 26th St Owatonna MN 55060-5503 |
| Mailing Address |
Po Box 1866 Green Bay WI 54305-1866 |
| Practice Telephone | 5074511120 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 626-156 | WI | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 8813 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
2200 NW 26TH ST |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324846 | Sara L. Packard | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2005-05-27 |
| 1275146680 | Jessica K Phelps | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2020-08-25 |
| 1588299804 | Cayla Kathleen Witte | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2020-03-06 |
| 1457909384 | Aicha Sylvie Katty | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-09-04 |
| 1366091266 | Melanie Kay Busch | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-09-04 |
| 1013576982 | Brady Michael Gross | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-06-13 |
| 1023573193 | Kayla Marie Cook | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-02-04 |
| 1467926618 | Megan Alm | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-21 |
| 1356814271 | Mallory Lynn Berry | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-03 |
| 1801313796 | Melinda Louann Wiese | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2017-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
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| 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 |
|---|---|---|---|---|
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1316992050 | Amy C. Swain | Audiologist | 685 W Bridge St, Suite 1b, Owatonna, MN 55060-2887 | 2006-05-23 |
| 1790237071 | Lisia Skye Rollman | Audiologist | 2200 Nw 26th St, Audiology Department, Owatonna, MN 55060-5503 | 2016-11-02 |
| 1689648354 | Susan G Lynn | Audiologist | 2200 Nw 26th St, Owatonna, MN 55060 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839715 | Thomas J Tedeschi | Audiologist | 150 S 5th St Ste 2300, Minneapolis, MN 55402-4223 | 2020-04-13 |
| 1902435514 | Robert Lang | Audiologist | 1597 Park Ave, White Bear Lake, MN 55110-3704 | 2020-04-06 |
| 1528625290 | Kara Rae Balken | Audiologist | 7300 France Ave S Ste 101, Edina, MN 55435-4525 | 2019-05-28 |
| 1538724612 | Elizabeth Mary Butler | Audiologist | 1155 E County Road E, Ste 100, Minneapolis, MN 55110-5191 | 2019-05-05 |
| 1417422445 | Joelle Peterson | Audiologist | 12925 16th Ave N, Plymouth, MN 55441-4560 | 2018-10-05 |
| 1700313681 | Hannah Catherine Erickson Herd | Audiologist | 701 25th Ave S Fl 2, Minneapolis, MN 55454 | 2017-05-22 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1457711327 | Reynolds Audiology LLC | Audiologist | 2155 Woodlane Drive, Suite 103, Woodbury, MN 55125-3049 | 2016-03-04 |
| 1578949277 | Christine Heintskill | Audiologist | 506 Elm Ave Se, Montgomery, MN 56069-1716 | 2015-08-04 |
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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.