DR. CAROL HELEN KISNER-BOTHWELL (NPI# 1053320523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053320523 |
| Entity Type | Individual |
| Full Name | DR. CAROL HELEN KISNER-BOTHWELL |
| Other Name | CAROL HELEN KISNER |
| Credential | AUD |
| Practice Address |
1 Prestige Dr Suite 107 Meriden CT 06450-7164 |
| Mailing Address |
25 Needham St Newton MA 02461-1615 |
| Practice Telephone | 2036390311 |
| Practice Fax Number | 2036391489 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 6176300141 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 000203 | CT | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS BLUE SHIELD | 730000203CT04 | 01 |
| Street Address |
1 PRESTIGE DR SUITE 107 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720094535 | Audrey Anne Caruthers | Technician/Technologist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2006-08-01 |
| 1437393329 | Arthur C. Embleton | Audiologist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2009-04-23 |
| 1154587822 | Scott Lake | Optometrist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2008-08-01 |
| 1306001789 | Bita Moeinifar | Optometrist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2008-07-24 |
| 1184815136 | Nathaniel Senderoff | Technician/Technologist | 1 Prestige Dr, Meriden, CT 06450-7164 | 2007-08-06 |
| 1144338468 | George Phillip Haas | Dentist | 1 Prestige Dr, Suite #107, Meriden, CT 06450-7164 | 2006-08-27 |
| 1609980945 | Janet Marie Conklin | Dental Hygienist | 1 Prestige Dr, Suite #107, Meriden, CT 06450-7164 | 2006-08-17 |
| 1225142599 | Mel T. Sanchez | Dentist | 1 Prestige Dr, Suite # 107, Meriden, CT 06450-7164 | 2006-08-17 |
| 1811906530 | Susan Rosenbluth Glasman | Podiatrist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1437393329 | Arthur C. Embleton | Audiologist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586641 | Natalie Silvia | Audiologist | 21 W Main St Fl 3, Waterbury, CT 06702-2013 | 2020-07-27 |
| 1598380404 | Michael Figueiredo | Audiologist | 72 Jones Hollow Rd, Marlborough, CT 06447-1141 | 2020-06-16 |
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1104465673 | Julia Davis | Audiologist | 911 State Street, State Street Health Services, New Haven, CT 06511-3929 | 2020-01-02 |
| 1295394484 | Amber Waitcus Pickett | Audiologist | 146 Hazard Ave Ste 204, Enfield, CT 06082-4566 | 2019-06-11 |
| 1336602226 | Shannon Marie O'loughlin | Audiologist | Crec-soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610 | 2019-04-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1063905610 | Samantha N Hauser | Audiologist | 22 Tompkins St Ste 1, Waterbury, CT 06708-1496 | 2018-06-08 |
| 1821500703 | Abby Hill Smith | Audiologist | 2600 Post Rd Ste 2, Southport, CT 06890 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
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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.