MS. SHELLEY POYNER BALTODANO (NPI# 1932382785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932382785 |
| Entity Type | Individual |
| Full Name | MS. SHELLEY POYNER BALTODANO |
| Credential | AU.D. |
| Practice Address |
300 W Clarendon Ave Suite 375 Phoenix AZ 85013-3420 |
| Mailing Address |
1025 N Country Club Drive #102 Mesa Public Schools Mesa AZ 85201 |
| Practice Telephone | 6022774161 |
| Practice Fax Number | 6022773481 |
| Mailing Telephone | 4804720509 |
| Mailing Fax Number | 4804720587 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | DA1804 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 23 | 05 |
| Street Address |
300 W CLARENDON AVE SUITE 375 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000975 | Bradley Jay Smith | Optometrist | 300 W Clarendon Ave, Ste 150, Phoenix, AZ 85013-3405 | 2005-06-02 |
| 1235611385 | Adam Klarowski | Physical Therapist | 300 W Clarendon Ave, Phoenix, AZ 85013-3420 | 2018-09-05 |
| 1205369519 | James Holmes Jr. | Psychologist | 300 W Clarendon Ave, 470, Phoenix, AZ 85013-3420 | 2017-04-05 |
| 1760876320 | Anna Dakessian-titus | Psychologist | 300 W Clarendon Ave, Suite 470, Phoenix, AZ 85013-3420 | 2015-03-22 |
| 1841681608 | Kandi Gamerdinger | Nurse Practitioner | 300 W Clarendon Ave, Ste. 145, Phoenix, AZ 85013-3420 | 2015-02-13 |
| 1922424365 | Lynn M. Meyer | Counselor | 300 W Clarendon Ave, Suite #470, Phoenix, AZ 85013-3420 | 2014-03-10 |
| 1013346261 | Kate Gillpatrick | Social Worker | 300 W Clarendon Ave, Ste# 470, Phoenix, AZ 85013-3420 | 2013-11-08 |
| 1386914919 | Beth A. Purdy, Md, Plc | Orthopaedic Surgery | 300 W Clarendon Ave, Suite 250, Phoenix, AZ 85013-3420 | 2012-01-12 |
| 1417232349 | Amanda Robinson | Counselor | 300 W Clarendon Ave, Ste 470, Phoenix, AZ 85013-3420 | 2011-10-11 |
| 1417232372 | Kelly Zaragoza | Counselor | 300 W Clarendon Ave, Suite 470, Phoenix, AZ 85013-3420 | 2011-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
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| 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 |
|---|---|---|---|---|
| 1427675933 | Bryce Alexander Altus | Audiologist | 4122 W Innovative Dr Ste 101, Phoenix, AZ 85086-3847 | 2020-06-30 |
| 1053937441 | Cassidy White | Audiologist | 7207 S 41st Ln, Phoenix, AZ 85041-3506 | 2020-06-22 |
| 1720592827 | Mary Christine Ferriera | Audiologist | 2340 E Beardsley Rd Ste 260, Phoenix, AZ 85024-1287 | 2017-11-28 |
| 1871015305 | Amanda Marie Mcinroy | Audiologist | 4545 E Shea Blvd Ste 174, Phoenix, AZ 85028-3061 | 2017-07-17 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| 1801045893 | Christina M Kelso | Audiologist | 5110 E Warner Rd Ste 100, Phoenix, AZ 85044-3368 | 2008-09-15 |
| 1134385933 | Kristen M Clark | Audiologist | 26224 N Tatum Blvd Ste 14, Phoenix, AZ 85050-7500 | 2008-07-31 |
| 1396914032 | Rita Gail Carter | Audiologist | 8055 N 24th Ave, Suite 103, Phoenix, AZ 85021-4865 | 2008-02-27 |
| 1770771180 | Carol Eichorst | Audiologist | 2051 W Northern Ave, Suite 200, Phoenix, AZ 85021-5179 | 2007-10-10 |
| 1780883579 | Georgine Ray | Audiologist | 4638 E Shea Blvd, Suite B-170, Phoenix, AZ 85028-3072 | 2007-07-12 |
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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.