STACEY LEE SHILTS (NPI# 1063684140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063684140 |
| Entity Type | Individual |
| Full Name | STACEY LEE SHILTS |
| Credential | MS CCC-A |
| Practice Address |
1025 Michigan Ave Ste 215 Logansport IN 46947-1594 |
| Practice Telephone | 5747532222 |
| Practice Fax Number | 5747530522 |
| Mailing Telephone | 5747532222 |
| Mailing Fax Number | 5747530522 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 23002220A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
1025 MICHIGAN AVE STE 215 |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760454177 | Todd Steven Weinstein | Surgery | 1025 Michigan Ave, Ste 215, Logansport, IN 46947-1594 | 2006-02-02 |
| 1558989764 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2020-07-14 |
| 1629628904 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2019-09-18 |
| 1063979318 | American Oncology Partners, P.a. | Internal Medicine | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2019-02-22 |
| 1134498140 | Amy Lynn Austin | Obstetrics & Gynecology | 1025 Michigan Ave, Suite 115, Logansport, IN 46947 | 2011-12-20 |
| 1134357445 | Jessica Yvonne Mcclintock Glover | Obstetrics & Gynecology | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2009-06-25 |
| 1285888495 | Michael Lalla | Surgery | 1025 Michigan Ave, Ste 215, Logansport, IN 46947-1594 | 2008-11-14 |
| 1497905376 | Pamela Lee Steinberger | Nurse Practitioner | 1025 Michigan Ave, Suite Ll15, Logansport, IN 46947-1593 | 2008-09-26 |
| 1376767178 | Logansport Clinic for Women | Obstetrics & Gynecology | 1025 Michigan Ave, Suite 115, Logansport, IN 46947-1593 | 2007-04-12 |
| 1114003415 | Alan J. Anthony | Dermatology | 1025 Michigan Ave, Ste 215, Logansport, IN 46947-1593 | 2006-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| 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 |
|---|---|---|---|---|
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922187 | Ryan David Leahy | Audiologist | 480 W Navajo St Ste A, West Lafayette, IN 47906-1940 | 2020-08-12 |
| 1720698558 | Shelby Zimmerman | Audiologist | 11725 Illinois St Ste 447, Carmel, IN 46032-3010 | 2020-08-06 |
| 1902441868 | Carolyn Herbert | Audiologist | 8330 Naab Rd Ste 235, Indianapolis, IN 46260-1932 | 2019-11-14 |
| 1518517002 | Katherine Noelle Griffith | Audiologist | 2421 Plum Woods Dr, Sellersburg, IN 47172-9081 | 2019-09-17 |
| 1548818131 | Allison Kern | Audiologist | 9106 N Meridian St Ste 200, Indianapolis, IN 46260-1826 | 2019-08-28 |
| 1508419359 | Barbara L Martig | Audiologist | 8425 Woodfield Crossing Blvd Ste 100, Indianapolis, IN 46240-7316 | 2019-07-22 |
| 1184286783 | Emily Elyse Brennecke | Audiologist | 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123-6913 | 2019-07-03 |
| 1952961591 | Sarah Jewel Gurnik | Audiologist | 2020 S State Road 135 Ste 200, Greenwood, IN 46143-6503 | 2019-06-17 |
| 1942869292 | Elizabeth Zuber | Audiologist | 9604 Coldwater Rd Ste 103, Fort Wayne, IN 46825-2096 | 2019-06-11 |
| 1225696875 | Angela Pollack | Audiologist | 201 N Illinois St Fl 16, Indianapolis, IN 46204-1904 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
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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.