ANDREA L FEDERMAN (NPI# 1851303630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851303630 |
| Entity Type | Individual |
| Full Name | ANDREA L FEDERMAN |
| Other Name | ANDREA L BUETTNER |
| Credential | AUD |
| Practice Address |
2845 Greenbrier Rd Ste 220 Green Bay WI 54311-6519 |
| Mailing Address |
2845 Greenbrier Rd Ste 220 Po Box 8900 Green Bay WI 54308-8900 |
| Practice Telephone | 9202888230 |
| Practice Fax Number | 9202888235 |
| Mailing Telephone | 9202888230 |
| Mailing Fax Number | 9202888235 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 299 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41134600 | 05 |
| Street Address |
2845 GREENBRIER RD STE 220 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083650907 | Diane M Mayland | Otolaryngology | 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 | 2006-06-20 |
| 1982616686 | Jessica D Grzeca | Audiologist | 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 | 2006-08-12 |
| 1326050196 | Kristin R Depouw | Audiologist | 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 | 2006-08-12 |
| 1417978172 | Sherwood W Vanderwoude | Otolaryngology | 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| 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 |
|---|---|---|---|---|
| 1053798769 | Joan Huntoon | Audiologist | 2589 Teresa Ct, Green Bay, WI 54311-5574 | 2015-05-01 |
| 1407029481 | Matthew J Riedi | Audiologist | 111 S Madison St, Green Bay, WI 54301-4501 | 2008-04-10 |
| 1508476771 | Alea Meyer | Audiologist | 1715 Dousman St, Green Bay, WI 54303-3211 | 2020-08-03 |
| 1598317265 | Michelle R Schumann | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-07-12 |
| 1700362860 | Cassandra Jean Bedore | Audiologist | 1715 Dousman St, Green Bay, WI 54303-3211 | 2018-07-12 |
| 1932565272 | Bellin Memorial Hospital Inc | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2015-12-31 |
| 1184098121 | Tess Conklin | Audiologist | 2851 University Ave, Green Bay, WI 54311-5855 | 2015-11-13 |
| 1992147714 | Megan Mc Mahon | Audiologist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2013-07-22 |
| 1639442023 | Paul F Kurland | Audiologist | 1600 Shawano Ave, Suite 110w, Green Bay, WI 54303-3246 | 2012-02-15 |
| 1235366527 | Amanda Rose Hallas Huff | Audiologist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2009-06-15 |
| Find all providers in GREEN BAY | ||||
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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.