SUSAN K KENNEY (NPI# 1649313784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649313784 |
| Entity Type | Individual |
| Full Name | SUSAN K KENNEY |
| Credential | AU.D. |
| Practice Address |
923 Eliza St Green Bay WI 54301-3234 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9209654800 |
| Practice Fax Number | 9203417024 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 85-156 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | 071050002 | 01 |
| WI | 41101800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235559089 | Susan Dawn Kenney | Community Health Worker | 489 Bernardston Rd, Greenfield, MA 01301-1238 | 2014-04-20 |
| 1780829077 | Susan Marie Kenney | Registered Nurse | 1850 Town Center Pkwy, Suite 400, Reston, VA 20190-3219 | 2008-12-16 |
| 1376744854 | Susan Marie Kenney | Social Worker | 650 Howe Ave Ste 200, Sacramento, CA 95825-4732 | 2007-05-30 |
| 1104976919 | Susan E Kenney | Physical Therapist | 11 Woodland Road, Madison, CT 06443 | 2007-01-12 |
| Street Address |
923 ELIZA ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710902887 | Kara Jean Rottier | Nurse Practitioner | 923 Eliza St, Green Bay, WI 54301-3234 | 2006-07-12 |
| 1598317265 | Michelle R Schumann | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-07-12 |
| 1518528033 | Cheryl M Robertson | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-06-25 |
| 1962063495 | Christina L Reek | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-06-25 |
| 1265919294 | Lori R Olson | Registered Nurse | 923 Eliza St, Green Bay, WI 54301-3234 | 2018-07-23 |
| 1932565272 | Bellin Memorial Hospital Inc | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2015-12-31 |
| 1073994133 | Kim Tavener | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2015-06-15 |
| 1154584035 | Kathryn A Engelhardt | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-07-09 |
| 1770756397 | Judy Winney | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-04-03 |
| 1962675587 | Karen Vandenhouten | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1053798769 | Joan Huntoon | Audiologist | 2589 Teresa Ct, Green Bay, WI 54311-5574 | 2015-05-01 |
| 1407029481 | Matthew J Riedi | Audiologist | 111 S Madison St, Green Bay, WI 54301-4501 | 2008-04-10 |
| 1508476771 | Alea Meyer | Audiologist | 1715 Dousman St, Green Bay, WI 54303-3211 | 2020-08-03 |
| 1598317265 | Michelle R Schumann | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-07-12 |
| 1700362860 | Cassandra Jean Bedore | Audiologist | 1715 Dousman St, Green Bay, WI 54303-3211 | 2018-07-12 |
| 1932565272 | Bellin Memorial Hospital Inc | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2015-12-31 |
| 1184098121 | Tess Conklin | Audiologist | 2851 University Ave, Green Bay, WI 54311-5855 | 2015-11-13 |
| 1992147714 | Megan Mc Mahon | Audiologist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2013-07-22 |
| 1639442023 | Paul F Kurland | Audiologist | 1600 Shawano Ave, Suite 110w, Green Bay, WI 54303-3246 | 2012-02-15 |
| 1235366527 | Amanda Rose Hallas Huff | Audiologist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2009-06-15 |
| Find all providers in GREEN BAY | ||||
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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.