MS. MARY LEE BAGWELL (NPI# 1841594983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841594983 |
| Entity Type | Individual |
| Full Name | MS. MARY LEE BAGWELL |
| Credential | M.A. |
| Practice Address |
112 E Myrtle Ave Suite 504 Johnson City TN 37601-8600 |
| Practice Telephone | 4239282885 |
| Practice Fax Number | 4239282885 |
| Mailing Telephone | 4239282885 |
| Mailing Fax Number | 4239282885 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | A0000000041 | TN | Speech, Language and Hearing Service Providers |
| Street Address |
112 E MYRTLE AVE, SUITE 504 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073991220 | Meredith Lynne Miller | Audiologist-Hearing Aid Fitter | 112 E Myrtle Ave Ste 504, Johnson City, TN 37601-4673 | 2015-05-08 |
| 1760627079 | Kyle M.c. Caprari | Audiologist-Hearing Aid Fitter | 33-57 Harrison St, Audiology Dept., Johnson City, NY 13790-2107 | 2008-12-16 |
| 1598840027 | Ear Nose and Throat Associates, P.C. | Audiologist-Hearing Aid Fitter | 215 E Watauga Ave, Johnson City, TN 37601-4671 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317424 | Watson Hearing Services, LLC | Audiologist-Hearing Aid Fitter | 311 N Jackson St Ste 9, Tullahoma, TN 37388-3537 | 2020-08-17 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1962898619 | Jessica Nicole Bell | Audiologist-Hearing Aid Fitter | 793 W Poplar Ave, Collierville, TN 38017-2543 | 2015-04-09 |
| 1447656384 | Madisonville Hearing Aid Center | Audiologist-Hearing Aid Fitter | 815 Englewood Rd, Madisonville, TN 37354-5103 | 2014-11-04 |
| 1063821189 | Michael Steer | Audiologist-Hearing Aid Fitter | 4646 Poplar Ave Ste 100, Memphis, TN 38117-4429 | 2014-08-04 |
| 1417265711 | David L Morrison | Audiologist-Hearing Aid Fitter | 517 Russell St Ste A, Dunlap, TN 37327-3649 | 2010-09-20 |
| 1740420132 | Allied Hearing Care, Inc | Audiologist-Hearing Aid Fitter | 110 Glancy St Ste 214, Goodlettsville, TN 37072-2313 | 2009-02-25 |
| 1740437649 | Christianne Brown Thomas | Audiologist-Hearing Aid Fitter | 108 Trace Park Ct E, Nashville, TN 37221-6904 | 2008-08-21 |
| 1972772200 | C. Lewis Addison | Audiologist-Hearing Aid Fitter | 3310 Alta Vista Dr, Heartech, LLC, Chattanooga, TN 37411-4201 | 2008-02-20 |
| 1609052836 | Crista Froeling Duncan | Audiologist-Hearing Aid Fitter | 2725 Island Home Boulevard, Knoxville, TN 37920-7128 | 2008-01-17 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.