JESSICA KREIDLER (NPI# 1760096366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760096366 |
| Entity Type | Individual |
| Full Name | JESSICA KREIDLER |
| Credential | AU.D., CCC-A |
| Practice Address |
8301 Arlington Blvd Ste 302 Fairfax VA 22031-2902 |
| Practice Telephone | 7032041123 |
| Practice Fax Number | 7036450793 |
| Mailing Telephone | 7032041123 |
| Mailing Fax Number | 7036450793 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2201001795 | VA | Speech, Language and Hearing Service Providers |
| Street Address |
8301 ARLINGTON BLVD STE 302 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184127961 | Elizabeth Lucius | Student in an Organized Health Care Education/Training Program | 8301 Arlington Blvd Ste 302, Fairfax, VA 22031-2902 | 2018-03-17 |
| 1740845577 | David Anthony Jara | Audiologist | 8301 Arlington Blvd Ste 302, Fairfax, VA 22031-2902 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| 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 |
|---|---|---|---|---|
| 1306455332 | Kelsey Ann Oppler | Audiologist | 3801 University Dr Fl 3, Fairfax, VA 22030-2503 | 2020-07-27 |
| 1548764350 | Margaret Ann Henry | Audiologist | 8270 Willow Oaks Corporate Dr Ste 2125, Fairfax, VA 22031-4511 | 2018-03-19 |
| 1760624191 | Vivian Lee Muccio | Audiologist | 3930 Pender Dr Ste 140, Fairfax, VA 22030-0986 | 2009-03-31 |
| 1205445186 | Brooke Dillard | Audiologist | 3801 University Dr Fl 3, Fairfax, VA 22030-2503 | 2020-07-28 |
| 1740845577 | David Anthony Jara | Audiologist | 8301 Arlington Blvd Ste 302, Fairfax, VA 22031-2902 | 2019-05-07 |
| 1710484753 | Stephanie Kay Thomas | Audiologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-04-06 |
| 1881195915 | Maria Soledad Deer | Audiologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-02-23 |
| 1538672266 | Chelsea Howard | Audiologist | 3801 University Dr, Fairfax, VA 22030 | 2017-11-16 |
| 1750767497 | Kaitlyn Dawes | Audiologist | 3801 University Dr, Suite 300, Fairfax, VA 22030-2503 | 2015-08-05 |
| 1902281157 | Amelia Shuster | Audiologist | 3801 University Dr, Suite 200, Fairfax, VA 22030-2503 | 2015-07-29 |
| Find all providers in FAIRFAX | ||||
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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.