CAROL ELAINE BERGMANN (NPI# 1700942125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700942125 |
| Entity Type | Individual |
| Full Name | CAROL ELAINE BERGMANN |
| Credential | AUD.,CCC-A |
| Practice Address |
15825 Manchester Rd Suite 209 Ellisville MO 63011-2263 |
| Practice Telephone | 6363919622 |
| Practice Fax Number | 6363919236 |
| Mailing Telephone | 6363919622 |
| Mailing Fax Number | 6363919236 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 01404 | MO | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 00695 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MERCY HEALTH PLAN | 431795961HEA | 01 |
| MO | DEPARTMENT OF LABOR | 141099800 | 01 |
| MO | HEALTHCARE USA | 46131 | 01 |
| MO | RAILFROAD MEDICARE | 640004344 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 126804 | 01 |
| MO | 333890101 | 05 | |
| UNITED HEALTHCARE | 4500105 | 01 | |
| AETNA | 7473310 | 01 | |
| MO | HEALTHLINK | 407251 | 01 |
| MO | PLUMBERS & PIPEFITTERS | 431795961 | 01 |
| Street Address |
15825 MANCHESTER RD SUITE 209 |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558539106 | Alison Michelle Benner | Audiologist | 15825 Manchester Rd, Suite 209, Ellisville, MO 63011-2263 | 2008-02-18 |
| 1275661571 | David Brian Schaller | Chiropractor | 15825 Manchester Rd, Suite 201, Ellisville, MO 63011-2263 | 2007-03-01 |
| 1679639991 | Kathleen Marie Sinks | Audiologist | 15825 Manchester Rd, Suite 209, Ellisville, MO 63011-2263 | 2006-12-29 |
| 1891851143 | Hearing Health Care, Inc. | Audiologist | 15825 Manchester Rd, Suite 209, Ellisville, MO 63011-2263 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1558539106 | Alison Michelle Benner | Audiologist | 15825 Manchester Rd, Suite 209, Ellisville, MO 63011-2263 | 2008-02-18 |
| 1053458612 | Jacqueline Hartman Inc | Audiologist | 15991 Manchester Rd, Ellisville, MO 63011-2140 | 2007-01-31 |
| 1356488092 | Jacqueline Scott Hartman | Audiologist | 15991 Manchester Rd, Ellisville, MO 63011-2140 | 2007-01-31 |
| 1679639991 | Kathleen Marie Sinks | Audiologist | 15825 Manchester Rd, Suite 209, Ellisville, MO 63011-2263 | 2006-12-29 |
| 1891851143 | Hearing Health Care, Inc. | Audiologist | 15825 Manchester Rd, Suite 209, Ellisville, MO 63011-2263 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1508484072 | Victoria Elizabeth Eschmann | Audiologist | 1551 Wall St Ste 100, Saint Charles, MO 63303-3540 | 2020-07-10 |
| 1174146591 | Leah Stanza | Audiologist | 1812 Nw Vesper St, Blue Springs, MO 64015-3206 | 2020-05-20 |
| 1861013500 | Concierge Hearing Care, LLC | Audiologist | 5315 Mirasol Manor Way, Eureka, MO 63025-2751 | 2020-05-05 |
| 1326685421 | Escobar Mobile Aud of Mo LLC | Audiologist | 221 Bolivar St, Jefferson City, MO 65101-1572 | 2019-12-08 |
| 1760031009 | Patty Taylor Gilberto | Audiologist | 2487 County Road 309, Poplar Bluff, MO 63901-4999 | 2019-09-10 |
| 1528611399 | Lynsey Ralston | Audiologist | 4880 Ne Goodview Cir Ste B, Lees Summit, MO 64064-1946 | 2019-07-22 |
| 1760944565 | Hearing and Audiology Sevices, LLC | Audiologist | 1722 S Glenstone Ave Ste J1, Springfield, MO 65804-1530 | 2019-04-02 |
| 1649742982 | Abdullah M Jamos | Audiologist | 3106 E Kingsley St, Springfield, MO 65804-6689 | 2018-12-27 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
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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.