DR. RAENA SUE DEPERRY (NPI# 1114018447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114018447 |
| Entity Type | Individual |
| Full Name | DR. RAENA SUE DEPERRY |
| Credential | AUD |
| Practice Address |
401 Stageline Rd Ste. 6 Hudson WI 54016-7897 |
| Mailing Address |
1119 State St Apt 164 River Falls WI 54022-3403 |
| Practice Telephone | 7155316710 |
| Practice Fax Number | 7155316711 |
| Mailing Telephone | 7154260223 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 515-156 | WI | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 8072 | FM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MHCP | 849410000 | 01 |
| Street Address |
401 STAGELINE RD STE. 6 |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-7897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267396 | Michele Anne Drevnick | Audiologist | 401 Stageline Rd, Suite 6, Hudson, WI 54016-7897 | 2005-07-07 |
| 1548349848 | James Harold Broecker | Marriage & Family Therapist | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-11-06 |
| 1174614408 | Sandra L Larson | Counselor | 401 Stageline Rd, Hudson, WI 54016-7897 | 2006-09-28 |
| 1548278203 | Mary Ellen Jacks | Marriage & Family Therapist | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-08-04 |
| 1457373441 | Pamela J. Henkel D.b.a. Hudson Counseling Services | Counselor | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-07-25 |
| 1639125792 | Lucy Lynn Pirner | Counselor | 401 Stageline Rd, Hudson Counseling Services Ste. 7, Hudson, WI 54016-7897 | 2006-05-26 |
| 1841246204 | Lucy Pirner | Counselor | 401 Stageline Rd, Hudson Counseling Services Ste. 7, Hudson, WI 54016-7897 | 2006-05-26 |
| 1710984562 | Hudson Hearing & Speech Clinic Inc | Speech-Language Pathologist | 401 Stageline Rd, Suite 6, Hudson, WI 54016-7897 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| 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 |
|---|---|---|---|---|
| 1417484239 | Jka5 Hudson Inc | Audiologist | 411 Stageline Rd # 290, Hudson, WI 54016-7848 | 2017-05-11 |
| 1255325205 | Deirdre Ann Worrell | Audiologist | 1516 North Ridge Dr, Hudson, WI 54016-1879 | 2005-09-06 |
| 1548267396 | Michele Anne Drevnick | Audiologist | 401 Stageline Rd, Suite 6, Hudson, WI 54016-7897 | 2005-07-07 |
| 1225032287 | Christopher Paul Quenelle | Audiologist | 751 Warren St., Hudson, NY 12534 | 2005-06-08 |
| 1932766441 | Kari Nicole Medearis | Audiologist | 411 Stageline Rd, Hudson, WI 54016-7848 | 2019-05-21 |
| 1669992871 | Samuel A Schultz | Audiologist | 411 Stageline Rd # 290, Hudson, WI 54016-7848 | 2017-06-20 |
| 1215105671 | Cuttler Audiology Inc | Audiologist | 13910 Lakeshore Blvd, Ste. 120, Hudson, FL 34667-1481 | 2008-02-19 |
| 1720095441 | James Robert Cuttler | Audiologist | 13910 Lakeshore Blvd, 120, Hudson, FL 34667 | 2006-08-02 |
| 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 |
| 1053858977 | Affordable Audiology & Hearing Service, LLC | Audiologist | 2390 State Road 44, Suite D, Oshkosh, WI 54904-6441 | 2017-01-30 |
| 1841745635 | Shane Prondzinski | Audiologist | 2051 Rollingwood Rd, Kronenwetter, WI 54455-9018 | 2016-08-22 |
| Find all providers with the same taxonomy | ||||
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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.