KIMBERLY MICHIKO NAKAYAMA (NPI# 1083195317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083195317 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHIKO NAKAYAMA |
| Credential | AUD |
| Practice Address |
2230 Nw Pettygrove St Ste 120 Portland OR 97210-2659 |
| Practice Telephone | 5034447676 |
| Practice Fax Number | 9713196647 |
| Mailing Telephone | 5034447676 |
| Mailing Fax Number | 9713196647 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 030930 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
2230 NW PETTYGROVE ST STE 120 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| 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 |
|---|---|---|---|---|
| 1629624945 | Lisa Ann Fratini | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239-3011 | 2019-08-13 |
| 1548739097 | Danielle Garrido | Audiologist | 12724 Se Stark St Bldg H, Portland, OR 97233-1539 | 2018-11-14 |
| 1548745540 | Alyce Schott | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250.36, Portland, OR 97239-3098 | 2018-09-26 |
| 1518440080 | Lauren Marie Rynders | Audiologist | 919 Ne 19th Ave Ste 170, Portland, OR 97232-2210 | 2018-09-11 |
| 1053894626 | Oriana P Maldonado | Audiologist | 501 N Graham St Ste 320, Portland, OR 97227-2001 | 2018-09-10 |
| 1295277622 | Amanda Ruth Kidman | Audiologist | 13003 Sw Brianne Way, Portland, OR 97223 | 2016-11-16 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1548633266 | Rachel Wilson | Audiologist | 919 Ne 19th Ave, 170, Portland, OR 97232-2210 | 2015-11-03 |
| 1134520604 | Paul Pendergraft | Audiologist | 316 Ne 60th Ave, Apt A1, Portland, OR 97213-3765 | 2014-09-15 |
| 1710260450 | Jay Jivan Vachhani | Audiologist | 3710 Sw Us Veterans Hospital Rd Bldg 103p-5, Portland, OR 97239-2964 | 2011-09-20 |
| Find all providers in PORTLAND | ||||
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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.