JANICE GAETH (NPI# 1093921371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093921371 |
| Entity Type | Individual |
| Full Name | JANICE GAETH |
| Practice Address |
3811 Spring St Suite 303 Racine WI 53405-1667 |
| Practice Telephone | 2626878210 |
| Mailing Telephone | 2626878210 |
| Enumeration Date | 2007-05-15 |
| 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 | 78 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41128200 | 05 |
| Street Address |
3811 SPRING ST SUITE 303 |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450211 | Subbanna Jayaprakash | Physical Medicine & Rehabilitation | 3811 Spring St, Suite 301, Racine, WI 53405-1667 | 2005-10-07 |
| 1851718050 | Christy Purpero | Specialist/Technologist | 3811 Spring St, Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1427475615 | Kayla Mcclure | Specialist/Technologist | 3811 Spring St, Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1023349057 | A.q.khan, M.d., S.c. | Anesthesiology | 3811 Spring St, Racine, WI 53405-1667 | 2010-01-14 |
| 1417146465 | Michael R Torhorst | Pharmacist | 3811 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1992994941 | Gary C Kober | Pharmacist | 3811 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1386716843 | Goran Jankovic | Family Medicine | 3811 Spring St, Suite 102, Racine, WI 53405-1667 | 2006-11-13 |
| 1427168475 | Jessica Jean Kasten | Physician Assistant | 3811 Spring St, Suite 201, Racine, WI 53405-1667 | 2006-08-30 |
| 1144239948 | Leigh Pitts | Physician Assistant | 3811 Spring St, Suite 201, Racine, WI 53405-1667 | 2006-08-08 |
| 1033129697 | James Waltenberger | Surgery | 3811 Spring St, Suite 201, Racine, WI 53405-1667 | 2006-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
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| 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 |
|---|---|---|---|---|
| 1932765112 | Chelsey N Ward | Audiologist | 512 S. 28th Ave, Wausau, WI 54401-4147 | 2019-05-14 |
| 1629556592 | Marquette University | Audiologist | 604 N 16th St Rm 223, Milwaukee, WI 53233-2117 | 2018-08-02 |
| 1558848325 | Timothy Kuckuk | Audiologist | N6444 Riverview Rd, Plymouth, WI 53073-3507 | 2018-07-25 |
| 1770077174 | Hayden Grace Engstrom | Audiologist | 9000 W. Wisconsin Avenue Ste B340, Milwaukee, WI 53226-5600 | 2018-06-19 |
| 1255825741 | Sarah Rose Andersen | Audiologist | 102 Grand Seasons Dr Ste 2, Waupaca, WI 54981-8298 | 2018-06-18 |
| 1386160786 | Lucy Woerfel | Audiologist | 9000 W Wisconsin Avenue Suite B340, Milwaukee, WI 53226-3254 | 2017-08-17 |
| 1851817399 | Appleton Audiology Associates, LLC | Audiologist | 1056 E Green Bay St, Shawano, WI 54166-2293 | 2017-08-16 |
| 1013430149 | Kya Elizabeth Grafenstein | Audiologist | 9000 W Wisconsin Ave # B340, Milwaukee, WI 53226-4874 | 2017-07-20 |
| 1417484239 | Jka5 Hudson Inc | Audiologist | 411 Stageline Rd # 290, Hudson, WI 54016-7848 | 2017-05-11 |
| 1053858977 | Affordable Audiology & Hearing Service, LLC | Audiologist | 2390 State Road 44, Suite D, Oshkosh, WI 54904-6441 | 2017-01-30 |
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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.