SIEON KIM (NPI# 1053971192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053971192 |
| Entity Type | Individual |
| Full Name | SIEON KIM |
| Credential | AUD |
| Practice Address |
2515 Cyclone Dr Ste B Waterloo IA 50701-9746 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3198888044 |
| Mailing Telephone | 3192355390 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 091888 | IA | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 096947 | IA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1753 W Ridgeway Ave Ste 111, Waterloo, IA 507014588 | 3198335970 |
| Street Address |
2515 CYCLONE DR STE B |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180870 | Mary Margaret Heatley | Physician Assistant | 2515 Cyclone Dr Ste B, Waterloo, IA 50701 | 2006-03-31 |
| 1720487838 | Crystal Wilken | Nurse Practitioner | 2515 Cyclone Dr Ste B, Waterloo, IA 50701 | 2014-08-14 |
| 1578651329 | Deborah Sue Rieks | Audiologist | 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9746 | 2006-10-10 |
| 1639123243 | David James Congdon | Otolaryngology | 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9746 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| 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 |
|---|---|---|---|---|
| 1366403222 | Jane Kristine Bohnenkamp | Audiologist | 834 W 4 Street, Waterloo, IA 50702 | 2006-03-30 |
| 1346201290 | Seema Siddiq Arab | Audiologist | 3138 Kimball Ave, Waterloo, IA 50702 | 2006-03-30 |
| 1174583652 | Robyn Lynn Ritchey | Audiologist | 2310 St Francis Dr, Suite 411, Waterloo, IA 50702 | 2006-03-27 |
| 1457888109 | Jamie Brost Soper | Audiologist | 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702 | 2017-05-12 |
| 1578984563 | Kimberly K Ott | Audiologist | 509 Hamacher St, Suite 205, Waterloo, IL 62298-1592 | 2013-12-18 |
| 1891039202 | Sara Nicole O'brien | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4544 | 2012-11-26 |
| 1578651329 | Deborah Sue Rieks | Audiologist | 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9746 | 2006-10-10 |
| 1285722041 | Sara Beth Harnack | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4588 | 2006-10-10 |
| 1144234220 | Kathryn M Thompson | Audiologist | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701 | 2006-07-27 |
| 1699732263 | Annette Marie Redman | Audiologist | 3138 Kimball Ave, Waterloo, IA 50702 | 2006-04-27 |
| Find all providers in WATERLOO | ||||
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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.