MICHELLE STEPHENS (NPI# 1760812275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760812275 |
| Entity Type | Individual |
| Full Name | MICHELLE STEPHENS |
| Practice Address |
5342 Dudley Blvd Va Mcclellan Audiology Mcclellan CA 95652-1012 |
| Practice Telephone | 9165617470 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A.01851 | OH | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1174975023 | Michelle Renee Stephens | Nurse Practitioner | 4200 S Douglas Ave Ste 225, Oklahoma City, OK 73109-3224 | 2016-07-04 |
| 1427470889 | Michelle Stephens | Counselor | 270 Relais Trce, Alpharetta, GA 30004-1613 | 2014-01-20 |
| 1851729172 | Michelle Stephens | Occupational Therapist | 424 Foxport Dr, Chapin, SC 29036-7544 | 2013-10-23 |
| 1619060316 | Michelle Lynn Stephens | Pharmacist | 206 White Pine Lane, Cranberry Township, PA 16066 | 2006-10-02 |
| 1164909123 | Michelle A Stephens | Psychoanalyst | 20 W 74th St, New York, NY 10023-2401 | 2018-07-23 |
| 1386139053 | Michelle Stephens | Registered Nurse | 1198 S Governors Ave Ste B100, Dover, DE 19904-6930 | 2018-06-26 |
| 1528516309 | Michelle Stephens | Registered Nurse | 3900 Broadway, Everett, WA 98201-5033 | 2016-09-21 |
| 1053764365 | Michelle M Stephens | Nurse Practitioner | 401 N Main St, Roanoke, IL 61561-7585 | 2016-07-21 |
| 1871942276 | Michelle Stephens | Occupational Therapy Assistant | 109 Mcclendon Church Rd, West Monroe, LA 71292-8052 | 2016-06-07 |
| Street Address |
5342 DUDLEY BLVD VA MCCLELLAN AUDIOLOGY |
| City | MCCLELLAN |
| State | CA |
| Zip Code | 95652-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127457 | James Michael Ward | Internal Medicine | 5342 Dudley Blvd, Mcclellan Satellite Clinic, Mcclellan, CA 95652-1012 | 2005-10-11 |
| 1376182121 | Elena Lanin | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-12-26 |
| 1538702881 | Tara Ann Miskovich | Psychologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-10-18 |
| 1437622420 | Dominique Talley | Social Worker | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-01-02 |
| 1518489780 | Jane Grabowski | Audiologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2017-07-10 |
| 1033528963 | Valerie Christian | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2014-08-05 |
| 1780950394 | Kathryn Irene Daniels | Internal Medicine | 5342 Dudley Blvd, Mcclellan, CA 95652 | 2012-03-28 |
| 1104196930 | Mae Ruth Doctor | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2012-01-11 |
| 1225314503 | Glenda Fe Jimenez | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2011-10-31 |
| 1306127261 | Charisse May C. Vivar | Pharmacist | 5342 Dudley Blvd, Va Northern California Health Care System 119/mcc, Mcclellan, CA 95652-1012 | 2011-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688955 | Wenxia Han | Registered Nurse | 3401 Beech St, Bldg 949, Mcclellan, CA 95652 | 2014-04-02 |
| 1902231897 | Marisa Salas Silva | Social Worker | 3401 Beech Street, Bldg 949, Mcclellan, CA 95652 | 2013-09-10 |
| 1295070290 | Stephanie Ann Bost | Dietitian, Registered | 3401 Beech St., Mcclellan, CA 95652 | 2012-12-01 |
| 1811276025 | Brian C Choi | Dentist | 5401 Arnold Avenue, Bldg. 88, Sacramento, CA 95652 | 2011-08-05 |
| 1154408391 | California Shock Trauma Air Rescue | Ambulance | 4933 Bailey Loop, Mcclellan, CA 95652 | 2006-11-01 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1104910652 | Ann Marie Mullen | Audiologist | 5342 Dudley Blvd., Sacramento, CA 95652 | 2006-10-02 |
| 1831174556 | Mark A Duckett | Dentist | 4101 Arnold Ave, Va /mcclellan Dental Service, Scramento, CA 95652 | 2005-12-15 |
| 1073596581 | Jane P Addagatla | Internal Medicine | Va Mcclellan Opc, 5342 Dudley Blvd,bldg 98, Mcclellan Park, CA 95652 | 2005-11-29 |
| 1528518321 | Dana Kirkwood Adkins | Social Worker | 3401 Beech Street, Building 949, Room #225, Mcclellan, CA 95652 | 2016-10-05 |
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| 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 |
|---|---|---|---|---|
| 1003335423 | Jessica Marie Johnson | Audiologist | 5342 Dudley Blvd # 95652, Mcclellan, CA 95652-1012 | 2017-09-18 |
| 1518489780 | Jane Grabowski | Audiologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2017-07-10 |
| 1295831295 | Stanca Mihaela Felt | Audiologist | 5342 Dudley Blvd, Va Opc - Audiology (126a), Mcclellan, CA 95652-1012 | 2006-09-16 |
| 1063523306 | Nichole Maria Hightower | Audiologist | 5342 Dudley Blvd, Mcclelaln Park Vaopc (audiology 126), Mcclellan, CA 95652-1012 | 2006-08-31 |
| 1467493643 | Lynda J. Liddell | Audiologist | 5342 Dudley Blvd, Audiology 126 Vaopc, Mcclellan, CA 95652-1012 | 2006-06-09 |
| 1457398281 | Stacey Gisler Wigglesworth | Audiologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
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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.