MRS. JAN H HENRIQUES (NPI# 1730230996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730230996 |
| Entity Type | Individual |
| Full Name | MRS. JAN H HENRIQUES |
| Credential | AU.D. |
| Practice Address |
203 Woodpark Place Suite B-100 Woodstock GA 30188 |
| Practice Telephone | 7705604775 |
| Practice Fax Number | 7702346977 |
| Mailing Telephone | 7705604775 |
| Mailing Fax Number | 7702346977 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 1690 | GA | Speech, Language and Hearing Service Providers |
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 001690 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000876752A | 05 | |
| GA | 000784506A | 05 |
| Street Address |
203 WOODPARK PLACE SUITE B-100 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710320130 | Christa Barefoot Nelms | Audiologist | 203 Woodpark Place, B-100, Woodstock, GA 30188 | 2013-04-16 |
| 1730471236 | Attri Datta | Family Medicine | 203 Woodpark Place, Bldg C Suite 100, Woodstock, GA 30188 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891937223 | Mary Sue D. Heinzelmann | Audiologist-Hearing Aid Fitter | 1200 Claussen Dr, Woodstock, IL 60098-2139 | 2009-03-31 |
| 1285740886 | Progressive Audiology Center, Inc. | Audiologist-Hearing Aid Fitter | 2230 Towne Lake Pkwy, Building 800 Suite 120, Woodstock, GA 30189-5540 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1235610932 | Bree Ellesse Blackwell | Audiologist-Hearing Aid Fitter | 527 Stephenson Ave Unit A-3, Savannah, GA 31405-5923 | 2018-08-22 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1841602372 | Kerri Jo Hudson | Audiologist-Hearing Aid Fitter | 410 Sw Us Highway 80, Pooler, GA 31322-2541 | 2014-06-02 |
| 1902166895 | Jeanine Angela Jackson | Audiologist-Hearing Aid Fitter | 3239 Telford Ter Sw, Atlanta, GA 30331-5447 | 2012-05-24 |
| 1356673891 | Laurie Mcdaniel Scarrow | Audiologist-Hearing Aid Fitter | 27 8th Seave, Moultrie, GA 31768-5500 | 2010-02-09 |
| 1043440183 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 8020 Mall Pkwy, Lithonia, GA 30038-2542 | 2009-07-23 |
| 1841420809 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 1300 Southlake Mall, Morrow, GA 30260-2326 | 2009-07-23 |
| 1942430087 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 6000 Northpoint Cir, Alpharetta, GA 30022-4862 | 2009-07-23 |
| Find all providers with the same taxonomy | ||||
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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.