MRS. THERESA MARIE BOSWORTH


Address: 1425 Michigan Ne Suite A, Grand Rapids, MI 49503
Phone: 6164594514

MRS. THERESA MARIE BOSWORTH (NPI# 1932329729) 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) 1932329729
Entity Type Individual
Full Name MRS. THERESA MARIE BOSWORTH
Credential MA,CCC-A
Practice Address 1425 Michigan Ne Suite A
Grand Rapids
MI 49503
Mailing Address 1425 Michigan Ne Suite A
Grand Rapids Ear Nose & Throat, PC
Grand Rapids
MI 49503
Practice Telephone 6164594514
Practice Fax Number 6164595001
Mailing Telephone 6164597749
Mailing Fax Number 6164595001
Enumeration Date 2007-04-26
Last Update Date 2013-08-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 1601000098 MI Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE SHIELD HEARING PROVI 640D126260 01

Office Location

Street Address 1425 MICHIGAN NE SUITE A
City GRAND RAPIDS
State MI
Zip Code 49503

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1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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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
1073143210 Megan Justine Gustavson Audiologist 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 2020-01-15
1730439225 William Allen Hodgson Audiologist 803 Ne 1st Ave, Grand Rapids, MN 55744-2751 2012-09-12
1457596090 Mary Disselkoen Audiologist 1353 Van Auken St Se, Grand Rapids, MI 49508-2516 2008-12-11
1750535373 Jack De Boer Audiologist 2036 Chesaning Dr Se, Grand Rapids, MI 49506-5309 2008-11-10
1740452200 Susan Jane Haveman-kruyf Audiologist 655 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-8622 2008-03-25
1023299088 Sharon K. Hickox Audiologist 4055 Cascade Rd Se Ste 201, Grand Rapids, MI 49546-2149 2007-11-19
1164575833 Edward Joseph Szumowski Audiologist 4232 29th St Se, Grand Rapids, MI 49512-1936 2007-01-18
1093878480 Karen Ann Jacobs Audiologist 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 2006-12-18
1588697411 Denise Ann Hove Audiologist 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 2006-07-07
1558848374 Karson Glass Audiologist 6140 28th St Se, Grand Rapids, MI 49546-6938 2018-07-24
Find all providers in GRAND RAPIDS

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City GRAND RAPIDS
Zip Code 49503

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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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