MRS. GRETCHEN DEROSEAR MELVIN


Address: 1107 College Ave, Suite B, Quincy, IL 62301-2664
Phone: 2172283377

MRS. GRETCHEN DEROSEAR MELVIN (NPI# 1902072440) 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) 1902072440
Entity Type Individual
Full Name MRS. GRETCHEN DEROSEAR MELVIN
Credential M.S., CCC-A
Practice Address 1107 College Ave
Suite B
Quincy
IL 62301-2664
Mailing Address 1025 Maine St
Quincy
IL 62301-4038
Practice Telephone 2172283377
Practice Fax Number 2172282657
Mailing Telephone 2172226550
Mailing Fax Number 2172772253
Enumeration Date 2008-05-05
Last Update Date 2009-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 147.000725 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 1107 COLLEGE AVE
SUITE B
City QUINCY
State IL
Zip Code 62301-2664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932185329 Albert W Marchiando Otolaryngology 1107 College Ave, Ste 2, Quincy, IL 62301-2664 2005-12-19
1699376202 Veronica Lynn Roth-phillips Nurse Practitioner 1107 College Ave, Quincy, IL 62301-2600 2020-11-02
1659869444 Annslee Fahy Nutritionist 1107 College Ave, Quincy, IL 62301-2600 2018-04-26
1275926610 Julie Eftink Social Worker 1107 College Ave, Quincy, IL 62301-2600 2015-03-10
1275962243 Taofik Nasrat Psychiatry & Neurology 1107 College Ave, Quincy, IL 62301 2013-11-11
1518307305 Jennifer Kamps Dietitian, Registered 1107 College Ave, Quincy, IL 62301-2600 2013-06-26
1417204827 Blessing Hospital Family Medicine 1107 College Ave, Quincy, IL 62301-2600 2012-08-06
1467699082 Quincy Physicians & Surgeons Clinic, Sc Clinic/Center 1107 College Ave, Suite 2, Quincy, IL 62301-2664 2009-01-20
1639330400 Jennifer A. Holcomb Nurse Practitioner 1107 College Ave, Quincy, IL 62301-2600 2008-06-24
1235305954 Harry R. Ruth, M.d.,p.c. Otolaryngology 1107 College Ave, Suite 2, Quincy, IL 62301-2664 2008-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
1134749716 Bethany Nicole Jumps Pharmacist Broadway St & N 11th St, Quincy, IL 62301 2020-04-23
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
1245862002 Quincy Physicians & Surgeons Clinic, Sc Clinic/Center 3301 Broadway St., Quincy, IL 62301 2020-02-10
1043851488 West Central Illinois Nutrition In Home Supportive Care 639 York St. Room 333, Quincy, IL 62301 2019-10-07
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1194255083 Michael Andrew Behrens Nurse Practitioner Broadway and 11th Street, Quincy, IL 62301 2017-06-14
1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
1114234499 Dale D. Shahan Dds Ltd Dentist 636 Hampshire Suite 102, Quincy, IL 62301 2010-09-08
1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
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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
1790043982 Quincy Audiology, LLC Audiologist 1622 Vermont St, Quincy, IL 62301-3156 2012-04-25
1437448081 Brian J Kim Audiologist 1107 College Ave Ste 2, Quincy, IL 62301-2600 2011-04-05
1942488069 Kevin Sean Ballard Audiologist 731 Maine St, Quincy, IL 62301-4012 2008-01-31
1104005834 Cailyn Elizabeth Kelly Audiologist 500 Congress St Ste 2j, Quincy, MA 02169-0960 2007-10-30
1699804757 Moss Hearing Aids, Incorporated Audiologist 114 N 6th St, Quincy, IL 62301-2904 2007-03-05
1235155938 Kristen Marie Dolan Audiologist 68 E Central Ave # 1b, Quincy, CA 95971-9718 2006-07-14
1205453859 Hannah Lee Mahon Audiologist 731 Maine St, Quincy, IL 62301-4012 2020-06-30
1376996769 Amanda Jean Wand Audiologist 731 Maine St, Quincy, IL 62301-4012 2016-07-20
1497106389 Valeria Duque Audiologist 500 Congress St, Suite 2j, Quincy, MA 02169-0908 2016-06-22
1548679624 Mayflower Audiology, LLC Audiologist 1515 Hancock St, Quincy, MA 02169-5243 2014-08-04
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Competitor

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City QUINCY
Zip Code 62301

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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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