AMANDA KAY NORDGREN (NPI# 1952653875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952653875 |
Entity Type | Individual |
Full Name | AMANDA KAY NORDGREN |
Credential | AU.D. |
Practice Address |
3500 Tower Ave Superior WI 54880-4491 |
Mailing Address |
400 East Third Street Mcl2cred Duluth MN 55805-1951 |
Practice Telephone | 7158177100 |
Mailing Telephone | 2187868364 |
Enumeration Date | 2012-10-03 |
Last Update Date | 2018-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 9736 | MN | Speech, Language and Hearing Service Providers |
N | 231H00000X | Audiologist | 1601000624 | MI | Speech, Language and Hearing Service Providers |
Street Address |
3500 TOWER AVE |
City | SUPERIOR |
State | WI |
Zip Code | 54880-4491 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801872080 | Vicki Brady | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-5335 | 2005-12-19 |
1659911014 | Mary K Robinson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2020-01-13 |
1265093413 | Paige Lois Slemmons | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2019-06-27 |
1164994513 | Elaina A Fischer | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-4491 | 2018-12-26 |
1992229579 | Renee Christine Karth-pearson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-07-26 |
1821518267 | Ryan Morgan | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-27 |
1639699200 | Nicholas C. Ellefson | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-23 |
1760837819 | Eric James Estes | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2016-04-26 |
1710352018 | Christina Drexler | Occupational Therapist | 3500 Tower Ave, Superior, WI 54880-5395 | 2015-12-11 |
1063881399 | The Duluth Clinic, Ltd. | Pharmacy | 3500 Tower Ave, Suite C, Superior, WI 54880-4685 | 2015-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
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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 |
---|---|---|---|---|
1932765112 | Chelsey N Ward | Audiologist | 512 S. 28th Ave, Wausau, WI 54401-4147 | 2019-05-14 |
1629556592 | Marquette University | Audiologist | 604 N 16th St Rm 223, Milwaukee, WI 53233-2117 | 2018-08-02 |
1558848325 | Timothy Kuckuk | Audiologist | N6444 Riverview Rd, Plymouth, WI 53073-3507 | 2018-07-25 |
1770077174 | Hayden Grace Engstrom | Audiologist | 9000 W. Wisconsin Avenue Ste B340, Milwaukee, WI 53226-5600 | 2018-06-19 |
1255825741 | Sarah Rose Andersen | Audiologist | 102 Grand Seasons Dr Ste 2, Waupaca, WI 54981-8298 | 2018-06-18 |
1386160786 | Lucy Woerfel | Audiologist | 9000 W Wisconsin Avenue Suite B340, Milwaukee, WI 53226-3254 | 2017-08-17 |
1851817399 | Appleton Audiology Associates, LLC | Audiologist | 1056 E Green Bay St, Shawano, WI 54166-2293 | 2017-08-16 |
1013430149 | Kya Elizabeth Grafenstein | Audiologist | 9000 W Wisconsin Ave # B340, Milwaukee, WI 53226-4874 | 2017-07-20 |
1417484239 | Jka5 Hudson Inc | Audiologist | 411 Stageline Rd # 290, Hudson, WI 54016-7848 | 2017-05-11 |
1053858977 | Affordable Audiology & Hearing Service, LLC | Audiologist | 2390 State Road 44, Suite D, Oshkosh, WI 54904-6441 | 2017-01-30 |
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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.