DR. KELSI JO WITTUM (NPI# 1780100867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780100867 |
Entity Type | Individual |
Full Name | DR. KELSI JO WITTUM |
Credential | AU.D. |
Practice Address |
Corner of Lamont and Veterans Way Building 204 Department of Audiology Mountain Home TN 37684 |
Mailing Address |
5662 Maple Dell Ct Hilliard OH 43026-7699 |
Practice Telephone | 4239261171 |
Mailing Telephone | 6142089748 |
Enumeration Date | 2017-08-21 |
Last Update Date | 2017-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | OH | Speech, Language and Hearing Service Providers |
Street Address |
CORNER OF LAMONT AND VETERANS WAY BUILDING 204 DEPARTMENT OF AUDIOLOGY |
City | MOUNTAIN HOME |
State | TN |
Zip Code | 37684 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689669566 | Jessica R. Stanley | Nurse Practitioner | Corner of Lamont and Veterans Way, Building 200, Mountain Home, TN 37684-4000 | 2005-09-16 |
1699327536 | Allison Marie Anderson | Pharmacist | Corner of Lamont and Veterans Way, Mountain Home, TN 37684 | 2019-07-11 |
1336563873 | Sherry Good Street | Registered Nurse | Corner of Lamont and Veterans Way, Mountain Home, TN 37684-4000 | 2014-02-04 |
1578990826 | Emily Hughes | Pharmacist | Corner of Lamont and Veterans Way, Vamc Mountain Home, Mountain Home, TN 37684-4000 | 2013-10-02 |
1063849255 | Kristen Nelsen | Pharmacist | Corner of Lamont and Veterans Way, Mountain Home, TN 37684-4000 | 2013-10-02 |
1528403045 | Jimmy Tompo Gargar | Nurse Practitioner | Corner of Lamont and Veterans Way, James H. Quillen Vamc, Mountain Home, TN 37684-4000 | 2013-05-10 |
1194071381 | Holly Marie Abdel Nour | Pharmacist | Corner of Lamont and Veterans Way, James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2012-07-25 |
1497034250 | Christopher Austin | Pharmacist | Corner of Lamont and Veterans Way, James H. Quillen Va Medical Center (621), Mountain Home, TN 37684-4000 | 2011-08-11 |
1629379300 | Que-chau Ngo | Pharmacist | Corner of Lamont and Veterans Way, Mountain Home, TN 37684-4000 | 2010-11-11 |
1285958744 | William Darrell Willocks Jr. | Physical Therapist | Corner of Lamont and Veterans Way, Mountain Home, TN 37684-4146 | 2010-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
Find all providers in zip 37684 |
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 |
---|---|---|---|---|
1033501325 | Elizabeth Kolberg | Audiologist | Corner of Dogwood Avenue & 2nd Street, Audiology Research, Room Gb116, Mountain Home, TN 37684 | 2015-02-24 |
1245516798 | Kristal Mills Riska | Audiologist | James H Quillen Va Medical Center /lamont Street, Bldg 69--audiology 126, Mountain Home, TN 37684 | 2011-10-28 |
1861796344 | Jeanne Siler Lilly | Audiologist | 204 Dogwood Lane, Mountain Home, TN 37684-4000 | 2010-12-27 |
1730330820 | Stacy Elizabeth Helmert | Audiologist | 860 Highway 62 E Ste 8, Mountain Home, AR 72653-3276 | 2008-10-07 |
1902814940 | Daniel Allen Bell | Audiologist | Mountain Home Vamc-126, Mountain Home, TN 37684 | 2006-08-04 |
1174550875 | Joanna Webster Tampas | Audiologist | Audiology 126, Mountain Home, TN 37684 | 2006-06-27 |
1114961869 | Faith Wurm Akin | Audiologist | Audiology (126), James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2006-06-15 |
1265487417 | Lawrence I Shotland | Audiologist | J. H. Quillen Vamc, Sidney and Lamont, Mountain Home, TN 37684 | 2006-05-24 |
1487608386 | Colleen Marie Noe | Audiologist | 204 Dogwood Ave, Audiology (126), Mountain Home, TN 37684 | 2006-05-22 |
1235183153 | Elizabeth Leigh-paffenroth | Audiologist | James H Quillen, Vamc Audiology 126, Mountain Home, TN 37684 | 2006-05-22 |
Find all providers in MOUNTAIN HOME |
City | MOUNTAIN HOME |
Zip Code | 37684 |
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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.