NICOLE JASMIN BURGIS (NPI# 1063028207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063028207 |
| Entity Type | Individual |
| Full Name | NICOLE JASMIN BURGIS |
| Credential | AUD |
| Practice Address |
550 Water St Ste A Santa Cruz CA 95060-4126 |
| Mailing Address |
349 Western Dr Apt B Santa Cruz CA 95060-3043 |
| Practice Telephone | 8314628260 |
| Mailing Telephone | 9162030865 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 3558 | CA | Speech, Language and Hearing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
550 WATER ST STE A |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923711 | Daniel A Spilman | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-05-26 |
| 1962049213 | Manuel Ocano | Hearing Instrument Specialist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2019-12-05 |
| 1104272657 | Rachel Ersoff | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2016-05-13 |
| 1265775340 | Charie M Evans | Physician Assistant | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2013-03-27 |
| 1679827174 | Naomi Legate | Nurse Practitioner | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2012-11-05 |
| 1326337544 | James Teng | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2011-03-29 |
| 1871631853 | Ruth H Kaspar | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2007-02-02 |
| 1588702773 | Terence P Russell | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2007-02-01 |
| 1659437838 | Hannah Farquharson | Family Medicine | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-12-29 |
| 1558301358 | Barker Seftel Spilman Gen Ptrs | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1811078116 | Marshall Leigh Shoquist | Audiologist | 305 Soquel Ave Ste A, Santa Cruz, CA 95062-2348 | 2006-10-17 |
| 1104272657 | Rachel Ersoff | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2016-05-13 |
| 1710266424 | Anna W Dodge | Audiologist | 1595 Soquel Dr, 230, Santa Cruz, CA 95065-1719 | 2011-08-11 |
| 1871631853 | Ruth H Kaspar | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.