DR. LYDIA MUJA JOBICKSON


Address: 3101 Broadway Blvd, Kansas City, MO 64111-2659
Phone: 8169604001

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3101 BROADWAY BLVD
City KANSAS CITY
State MO
Zip Code 64111-2659

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(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

Providers in the same taxonomy and city

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
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City KANSAS CITY
Zip Code 64111

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Dataset Information

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.

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