DR. LYDIA MUJA JOBICKSON (NPI# 1811475577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811475577 |
| Entity Type | Individual |
| Full Name | DR. LYDIA MUJA JOBICKSON |
| Credential | AU.D. |
| Practice Address |
3101 Broadway Blvd Kansas City MO 64111-2659 |
| Practice Telephone | 8169604001 |
| Practice Fax Number | 8163029913 |
| Mailing Telephone | 8169604001 |
| Mailing Fax Number | 8163029913 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 2343 | KS | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | MO | Speech, Language and Hearing Service Providers |
| Street Address |
3101 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619837 | Chris D Stone | Internal Medicine | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2005-06-17 |
| 1013556661 | Taylor Kramer | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-12-31 |
| 1548810526 | Stephanie Kara Grote | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-09-12 |
| 1306402052 | Whitney Root | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-05-17 |
| 1780247247 | Misty M Smith | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-04-19 |
| 1700342466 | Sabetha Young | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-02-18 |
| 1801389440 | Bailey Kay Pepperdine | Audiologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-06-08 |
| 1730676933 | Alannah K Yoder | Pharmacist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-04-13 |
| 1184147092 | Callie Chagas | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2017-07-23 |
| 1275063968 | Michal Victoria Vande Kamp | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| 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 |
|---|---|---|---|---|
| 1417458241 | Mid America Balance Institute Inc | Audiologist | 123 Ne 91st St, Kansas City, MO 64155-3329 | 2018-02-27 |
| 1952828758 | Katherine B Petrosky | Audiologist | 8350 N Saint Clair Ave Ste 175, Kansas City, MO 64151-5100 | 2017-08-23 |
| 1376063503 | Catherine Palmietto | Audiologist | 373 W 101st Ter Ste 200, Kansas City, MO 64114-4561 | 2017-06-20 |
| 1629441209 | Audiology At Home | Audiologist | 5540 Oakley Ave, Kansas City, MO 64130-3240 | 2015-11-04 |
| 1841607405 | Casey Redding | Audiologist | 3901 Rainbow Blvd # Ms 3047, Kansas City, KS 66160-4619 | 2014-07-16 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| 1831531367 | Rachel Ann Henrickson | Audiologist | 2106 Olathe Blvd, Kansas City, KS 66160-0001 | 2013-07-25 |
| 1942473418 | Kathryn Plum | Audiologist | University of Kansas School of Medicine, Ms 3010, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2008-04-07 |
| 1033315049 | Ann D Hatfield | Audiologist | 4320 Wornall Rd Ste 420, Kansas City, MO 64111-3233 | 2007-06-26 |
| 1972717411 | Erika Marie Ward | Audiologist | 2300 Hutton Rd # 106-107, Kansas City, KS 66109-4436 | 2007-05-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.