MR. ETHAN DANIEL LIGHT (NPI# 1689024986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689024986 |
| Entity Type | Individual |
| Full Name | MR. ETHAN DANIEL LIGHT |
| Credential | AU.D. |
| Practice Address |
10881 W. Asbury Ave. Suite 110 Lakewood CO 80227 |
| Practice Telephone | 3039854423 |
| Practice Fax Number | 3039854459 |
| Mailing Telephone | 3039854423 |
| Mailing Fax Number | 3039854459 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 843 | CO | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 030856 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
10881 W. ASBURY AVE. SUITE 110 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
| 1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
| 1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
| 1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
| 1326210600 | Jennifer Ann Mcintosh | Specialist | 2195 South Field Way, Lakewood, CO 80227 | 2008-03-27 |
| Find all providers in zip 80227 | ||||
| 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 |
|---|---|---|---|---|
| 1043616261 | Erin Mae Zemba | Audiologist | 15416 Lakewood Heights Blvd, Lakewood, OH 44107-5507 | 2014-11-16 |
| 1417291543 | Laura Lynn Blair | Audiologist | 2302 S Eaton Ct, Lakewood, CO 80227-3948 | 2012-11-15 |
| 1679870299 | Adam Enock | Audiologist | 921 E County Line Rd Ste C, Lakewood, NJ 08701-2082 | 2011-02-16 |
| 1932404209 | Jessica Doehrman | Audiologist | 1630 S Deframe St, Unit B3, Lakewood, CO 80228-6023 | 2011-01-18 |
| 1740501832 | Amie P. Smith | Audiologist | 3110 S Wadsworth Blvd Ste 107, Lakewood, CO 80227-4809 | 2010-06-13 |
| 1013167899 | Elizabeth Rae Hawkins | Audiologist | 5419 Dunrobin Ave, Lakewood, CA 90713-1402 | 2008-09-29 |
| 1871768416 | Kirsten Ann Gardzelewski | Audiologist | 11390 W Glennon Dr, Lakewood, CO 80226-2572 | 2008-04-24 |
| 1346411436 | Danielle Yvonne Kennedy | Audiologist | 13952 Denver West Pkwy Ste 325, Lakewood, CO 80401-3143 | 2008-03-17 |
| 1982810032 | Matthew A Wilken | Audiologist | 445 Union Blvd Ste 124, Lakewood, CO 80228-1239 | 2007-05-15 |
| 1538372925 | Elizabeth Anne Snyder Mckenna | Audiologist | 14621 Leonard Ave, Lakewood, OH 44107-5928 | 2007-05-08 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on MR. ETHAN DANIEL LIGHT.
| 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.