JUSTIN O WILSON (NPI# 1962492405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962492405 |
| Entity Type | Individual |
| Full Name | JUSTIN O WILSON |
| Credential | AUD |
| Practice Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | (608) 782-7300 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2017-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 394 | IA | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | 1077 | WI | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 754 | IA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285021071 | Justin Alan Wilson | Specialist/Technologist, Other | 1015 E 32nd Street Suite 101, Austin, TX 78705 | 2015-04-20 |
| 1093138141 | Justin Adam Wilson | Registered Nurse | 2815 Sherbourne Ave, A, Nashville, TN 37204-2641 | 2014-01-27 |
| 1316249493 | Justin Andrew Wilson | Military Health Care Provider | 1st Marine Special Operations Battalion, Medical Department, Camp Pendleton, CA 92055-5341 | 2010-11-23 |
| 1447202098 | Justin Wilson | Physical Therapist | 1580 N Fiesta Blvd, Suite 102, Gilbert, AZ 85233-1032 | 2006-05-16 |
| 1831161850 | Justin B. Wilson | Internal Medicine | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-02-03 |
| 1861487340 | Justin Blake Wilson | Pharmacist | 1212a S Douglas Blvd, Midwest City, OK 73130-5213 | 2005-09-12 |
| 1275165615 | Justin Wilson | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2020-02-04 |
| 1679117428 | Justin Wilson | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2019-11-05 |
| 1003472739 | Justin Wilson | Counselor | 3125 E 7th St, Long Beach, CA 90804-4932 | 2019-05-17 |
| 1417420704 | Justin Wilson | Nurse Practitioner | 408 Clark St Ne, Cullman, AL 35055-1953 | 2019-01-09 |
| Street Address |
1836 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304834 | Susan G Maclellan-tobert | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-05-24 |
| 1861099590 | Ellen Compton | Dietitian, Registered | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-10-06 |
| 1699382630 | Jedd Sebion | Pharmacist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-09-24 |
| 1104436351 | Taryn Jean Simon | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-08-03 |
| 1497376438 | Eva Igler | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-30 |
| 1568083608 | Benjamin Haase Thompson | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-29 |
| 1316568736 | Eric Bobel | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-27 |
| 1134749708 | Kristin Danielle Heslep | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-23 |
| 1982224598 | Rebecca Stanek | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-23 |
| 1609496595 | Marie Gilberte Cineus | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| 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 |
|---|---|---|---|---|
| 1700444791 | Lindsay Marie Hoffman | Audiologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-06-04 |
| 1801295092 | Trista Marie Williams | Audiologist | 800 West Ave S, La Crosse, WI 54601-8806 | 2014-08-14 |
| 1144477878 | Brandi L. Henning | Audiologist | 800 West Avenue S., La Crosse, WI 54601-8806 | 2008-08-25 |
| 1548455579 | Angela M Roethel | Audiologist | 800 West Ave S, La Crosse, WI 54601-8806 | 2007-09-12 |
| 1124218995 | Andrea R Maliszewski | Audiologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2007-07-27 |
| 1871684100 | Emily Marie Farmer | Audiologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-09-28 |
| 1265440606 | Angela Shafer Manke | Audiologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-08-03 |
| 1841228509 | Mandy M Rutta | Audiologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-06-29 |
| 1245220748 | Michael A Schultz | Audiologist | 800 West Ave S, La Crosse, WI 54601-8806 | 2005-10-26 |
| 1871583377 | Ryan B Gregg | Audiologist | 800 West Ave S, La Crosse, WI 54601-8806 | 2005-10-26 |
| Find all providers in LA CROSSE | ||||
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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.