JENNIFER SUZANNE PUCKETT


Address: 3099 River Rd S, Ste 150, Salem, OR 97302-9754
Phone: 5034852596

JENNIFER SUZANNE PUCKETT (NPI# 1700098266) 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) 1700098266
Entity Type Individual
Full Name JENNIFER SUZANNE PUCKETT
Credential M.S.
Practice Address 3099 River Rd S
Ste 150
Salem
OR 97302-9754
Mailing Address 5839 Flairstone Ct Se
Salem
OR 97306-3529
Practice Telephone 5034852596
Practice Fax Number 5034852581
Mailing Telephone 5034853596
Mailing Fax Number 5034852581
Enumeration Date 2007-05-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 231H00000X Audiologist 22139 OR Speech, Language and Hearing Service Providers
X 237700000X Hearing Instrument Specialist HAS-P-539632 OR Speech, Language and Hearing Service Providers

Other Providers JENNIFER PUCKETT

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1770758427 Jennifer Walker Puckett Music Therapist 2180 Ridge Rd, Canton, GA 30114-4187 2008-04-24
1821286972 Jennifer Puckett Registered Nurse 5715 Us Highway 22 E, New Holland, OH 43145-9616 2007-10-12
1134699689 Jennifer Puckett Social Worker 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2018-11-27
1124313739 Jennifer Ann Puckett Pharmacist 755 Nw Gilman Blvd, T-0996, Issaquah, WA 98027-5357 2011-06-10
1245547405 Jennifer Stanfield Puckett Physician Assistant 811 13th St, Pob 3, Suite 10, Augusta, GA 30901-2700 2010-09-09
1710931548 Jennifer H Puckett Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2006-05-19

Office Location

Street Address 3099 RIVER RD S
STE 150
City SALEM
State OR
Zip Code 97302-9754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407850852 John Donovan Otolaryngology 3099 River Rd S, Salem, OR 97302-9754 2005-06-13
1962011676 Tram Anh Nguyen Student in an Organized Health Care Education/Training Program 3099 River Rd S, Salem, OR 97302-9754 2020-07-28
1861947277 Samantha A Joseph Specialist/Technologist, Other 3099 River Rd S, Suite 100, Salem, OR 97302-9754 2016-08-16
1962853820 Mindy Dimitri Audiologist 3099 River Rd S, Suite 120, Salem, OR 97302-9754 2016-06-22
1255678165 Willamette Sleep Solutions LLC Dentist 3099 River Rd S, Suite 250, Salem, OR 97302-9754 2013-01-11
1649415597 Matthew David Bell Audiologist 3099 River Rd S, Suite 150, Salem, OR 97302-9754 2008-12-06
1366602682 Diana Peterson Audiologist 3099 River Rd S, Ste 120, Salem, OR 97302 2008-06-10
1215060017 Heidi Michelle Sheridan Audiologist 3099 River Rd S, Suite 150, Salem, OR 97302-9754 2007-03-13
1215087440 Nadine Smith Palmateer Audiologist 3099 River Rd S, Salem, OR 97302-9754 2007-01-11
1295772770 Crystal Miyake Audiologist 3099 River Rd S, Ste 150, Salem, OR 97302-9754 2006-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
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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
1972084812 Jamie Malynn Hubbard-parker Audiologist 3099 River Rd S # 120, Salem, OR 97302-9754 2018-08-28
1851894604 Sophia Bao Nguyen Audiologist 3857 Wolverine St Ne Ste 16c, Salem, OR 97305-4270 2018-03-16
1770007015 Allison Rene Schauer Audiologist 3099 River Rd S Ste 120, Salem, OR 97302-9754 2017-07-28
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1053733634 Ohrc Salem LLC Audiologist 1560 Commercial St Se, Salem, OR 97302-4310 2014-01-15
1518392554 Megan Ann Marie Larson Audiologist 3857 Wolverine St Ne # 16-c, Salem, OR 97305-4270 2013-09-10
1689864258 Dana Kirsten Mcspaden Audiologist 220 Judson St S, Salem, OR 97302-5309 2007-07-30
1144433368 Norman Dale Frink Audiologist 3857 Wolverine St Ne # 16c, Salem, OR 97305-4270 2007-05-07
1700937703 Carol Irene Sayre Audiologist 2521 Boone Rd Se Ste 120, Salem, OR 97306-9675 2007-01-16
1386651586 Amanda R Grove-kenney Audiologist 980 W State St., Salem, OH 44460 2006-08-01
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Competitor

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City SALEM
Zip Code 97302

Improve Information

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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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