KEIRSEN MUFFLER (NPI# 1114139409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114139409 |
| Entity Type | Individual |
| Full Name | KEIRSEN MUFFLER |
| Credential | MA, CCC-A |
| Practice Address |
2315 N Lake Dr Suite 1005 Milwaukee WI 53211-4518 |
| Mailing Address |
13205 W Cleveland Ave New Berlin WI 53151-3901 |
| Practice Telephone | 4142714141 |
| Practice Fax Number | 4142714343 |
| Mailing Telephone | 2627851160 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 231H00000X | Audiologist | 283-156 | WI | Speech, Language and Hearing Service Providers |
| X | 237600000X | Audiologist-Hearing Aid Fitter | 283-156 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 4113000 | 05 |
| Street Address |
2315 N LAKE DR SUITE 1005 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990466 | Evonne Marie Winston | Dermatology | 2315 N Lake Dr, Suite 701, Milwaukee, WI 53211-4518 | 2005-08-30 |
| 1558557504 | Donna Mae Mullen | Audiologist-Hearing Aid Fitter | 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 | 2007-09-23 |
| 1700908902 | Lynn A Vice Psyd Sc | Psychologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-04-06 |
| 1205965761 | Herslof's, Inc | Technician/Technologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1417086901 | Paul R Herzfeld | Optometrist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1295876068 | Harry A. Easom | Specialist | 2315 N Lake Dr, #617, Milwaukee, WI 53211-4518 | 2007-02-12 |
| 1407994700 | Lynn A. Vice, Psy.d., S. C. | Psychologist | 2315 N Lake Dr, Suite 820, Milwaukee, WI 53211-4518 | 2007-02-01 |
| 1669518916 | Reproductive Specialty Center | Specialist | 2315 N Lake Dr, Suite 501, Milwaukee, WI 53211-4518 | 2007-01-30 |
| 1689733834 | Stephen Pallen | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
| 1124187356 | Michael Berg | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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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 |
|---|---|---|---|---|
| 1629556592 | Marquette University | Audiologist | 604 N 16th St Rm 223, Milwaukee, WI 53233-2117 | 2018-08-02 |
| 1770077174 | Hayden Grace Engstrom | Audiologist | 9000 W. Wisconsin Avenue Ste B340, Milwaukee, WI 53226-5600 | 2018-06-19 |
| 1386160786 | Lucy Woerfel | Audiologist | 9000 W Wisconsin Avenue Suite B340, Milwaukee, WI 53226-3254 | 2017-08-17 |
| 1013430149 | Kya Elizabeth Grafenstein | Audiologist | 9000 W Wisconsin Ave # B340, Milwaukee, WI 53226-4874 | 2017-07-20 |
| 1114238177 | Emily B. Patterson | Audiologist | 604 N 16th St Ste 223, Milwaukee, WI 53233-2117 | 2010-06-24 |
| 1336399286 | Scott C. Chase | Audiologist | 9236 W. Bluemound Rd, Chas Hearing Health, Milwaukee, WI 53226-4407 | 2008-09-29 |
| 1033208210 | Donna M Klawinski | Audiologist | 2741 W Layton Avenue Suite 206, Milwaukee, WI 53221-2600 | 2006-10-12 |
| 1427090315 | John Seibel | Audiologist | 3534 N 94th St, Milwaukee, WI 53222-2610 | 2006-06-12 |
| 1922046325 | John P May | Audiologist | Va Medical Center 5000 W. National Avenue, Milwaukee, WI 53295-0001 | 2006-06-04 |
| 1518933969 | Gwen M Kandula | Audiologist | 1233 N Mayfair Rd, Ste 120, Milwaukee, WI 53226-3255 | 2006-02-26 |
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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.