AMY S CIVIELLO (NPI# 1811001969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811001969 |
Entity Type | Individual |
Full Name | AMY S CIVIELLO |
Credential | M.A.CCC-A,FAAA |
Practice Address |
200 Union Blvd Suite 421 Lakewood CO 80228-1830 |
Practice Telephone | 7204462828 |
Practice Fax Number | 7204460941 |
Mailing Telephone | 7204462828 |
Mailing Fax Number | 7204460941 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2016-05-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 218 | CO | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 29451281 | 05 |
Street Address |
200 UNION BLVD SUITE 421 |
City | LAKEWOOD |
State | CO |
Zip Code | 80228-1830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558345751 | Esther Naomi Matoba | Optometrist | 200 Union Blvd, Suite 415, Lakewood, CO 80228-1830 | 2005-12-01 |
1225508641 | Golden Steps Aba Co, LLC | Assistant Behavior Analyst | 200 Union Blvd, Lakewood, CO 80228-1830 | 2018-11-28 |
1518400571 | Drs Matoba Optometrists LLC | Optometrist | 200 Union Blvd, Ste 415, Lakewood, CO 80228-1830 | 2016-11-23 |
1871046524 | Ally Speech Therapy, LLC | Speech-Language Pathologist | 200 Union Blvd, Suite 200, Lakewood, CO 80228-1830 | 2016-07-29 |
1154774156 | Traci Flannery | Speech-Language Pathologist | 200 Union Blvd, Suite 200, Lakewood, CO 80228-1830 | 2016-07-14 |
1740649789 | Mile High Audiology, Inc. | Audiologist | 200 Union Blvd, Suite 421, Lakewood, CO 80228-1830 | 2016-02-18 |
1710366331 | Robin C Donnelly | Hearing Instrument Specialist | 200 Union Blvd, Suite 200 (regus Suite), Lakewood, CO 80228-1830 | 2015-05-28 |
1851786313 | Hasse Family Chiropractic Clinic | Chiropractor | 200 Union Blvd, Suite 440, Lakewood, CO 80228-1830 | 2015-04-01 |
1316330368 | Green Mountain Partners for Health Pllc | Internal Medicine | 200 Union Blvd, Suite 311, Lakewood, CO 80228-1830 | 2015-03-16 |
1639424096 | Marin Adkisson | Audiologist | 200 Union Blvd, Suite 421, Lakewood, CO 80228-1830 | 2012-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
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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 |
---|---|---|---|---|
1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
1043616261 | Erin Mae Zemba | Audiologist | 15416 Lakewood Heights Blvd, Lakewood, OH 44107-5507 | 2014-11-16 |
1417291543 | Laura Lynn Blair | Audiologist | 2302 S Eaton Ct, Lakewood, CO 80227-3948 | 2012-11-15 |
1679870299 | Adam Enock | Audiologist | 921 E County Line Rd Ste C, Lakewood, NJ 08701-2082 | 2011-02-16 |
1932404209 | Jessica Doehrman | Audiologist | 1630 S Deframe St, Unit B3, Lakewood, CO 80228-6023 | 2011-01-18 |
1740501832 | Amie P. Smith | Audiologist | 3110 S Wadsworth Blvd Ste 107, Lakewood, CO 80227-4809 | 2010-06-13 |
1013167899 | Elizabeth Rae Hawkins | Audiologist | 5419 Dunrobin Ave, Lakewood, CA 90713-1402 | 2008-09-29 |
1871768416 | Kirsten Ann Gardzelewski | Audiologist | 11390 W Glennon Dr, Lakewood, CO 80226-2572 | 2008-04-24 |
1346411436 | Danielle Yvonne Kennedy | Audiologist | 13952 Denver West Pkwy Ste 325, Lakewood, CO 80401-3143 | 2008-03-17 |
1982810032 | Matthew A Wilken | Audiologist | 445 Union Blvd Ste 124, Lakewood, CO 80228-1239 | 2007-05-15 |
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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.