ELIZABETH E EAGON (NPI# 1114219193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114219193 |
| Entity Type | Individual |
| Full Name | ELIZABETH E EAGON |
| Other Name | ELIZABETH ELLEN HERZOG |
| Credential | MA, CCC-A |
| Practice Address |
787 Weatherly Dr Suite 200 Clarksville TN 37043-8949 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 9316471255 |
| Practice Fax Number | 9316472399 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A0000001259 | TN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN | 6091991 | 01 |
| TN | 1525013 | 05 |
| Street Address |
787 WEATHERLY DR SUITE 200 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-8949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750347464 | William Morris Steely | Surgery | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2006-04-21 |
| 1063898856 | William M. Steely M.d. PC | Surgery | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2015-08-04 |
| 1720366628 | Kirk Sahagian Do Pllc | Surgery | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2011-07-26 |
| 1730330549 | Barbara Steely | Registered Nurse | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2008-10-10 |
| 1285836478 | Jason C Mattern Sr. | Physician Assistant | 787 Weatherly Dr, Suite 200, Clarksville, TN 37043-8949 | 2007-06-01 |
| 1033223896 | Central Tennessee Ear Nose & Throat | Specialist | 787 Weatherly Dr, Suite 200, Clarksville, TN 37043-8949 | 2006-08-18 |
| 1174637946 | Randolph M Richards | Otolaryngology | 787 Weatherly Dr, Suite 200, Clarksville, TN 37043-8949 | 2006-08-18 |
| 1235143025 | Dino A Delaurentis | Urology | 787 Weatherly Dr, 400, Clarksville, TN 37043-8952 | 2006-07-28 |
| 1316973522 | Randall J. Bolar, Md, Plc | Surgery | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1710325600 | Makenzie Kline | Audiologist | 914 Eastern Blvd, Suite 400, Clarksville, IN 47129-1962 | 2013-06-13 |
| 1669755880 | Nancy H Howell | Audiologist | 1740 Memorial Drive, Suite 1, Clarksville, TN 37043 | 2011-09-23 |
| 1801093398 | Mitzie Michelle Slayden | Audiologist | 1604 Madison St Ste F, Clarksville, TN 37043-5983 | 2007-06-28 |
| 1013910892 | Emiko Jane Lejeune | Audiologist | 1740 Memorial Dr, Clarksville, TN 37043-4561 | 2005-05-24 |
| 1194108522 | Katelyn A Crockett | Audiologist | 1740 Memorial Dr, Suite 1, Clarksville, TN 37043-9500 | 2015-07-02 |
| 1548575590 | Aubrey Jennifer Carr | Audiologist | 1740 Memorial Dr, Clarksville, TN 37043-9500 | 2010-08-15 |
| 1376699231 | Jenny Lynn Kingsbury | Audiologist | 1740 Memorial Dr, Clarksville, TN 37043-4561 | 2007-01-25 |
| 1326197534 | David Henry Levy | Audiologist | 1754 Madison St, Suite 1, Clarksville, TN 37043-2923 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584067 | Shannon Faulkner | Audiologist | 6211 Robin Hill Rd, Nashville, TN 37205-3525 | 2020-09-29 |
| 1427660471 | Yini Sun | Audiologist | 106 Sylvis St, Dickson, TN 37055-6314 | 2020-08-20 |
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1700402393 | Alexandra Carmichael | Audiologist | 804 N Thompson Ln Ste 1f, Murfreesboro, TN 37129-4338 | 2020-06-19 |
| 1154971414 | Sarah Johnston Wiseman | Audiologist | 2100 Clinch Ave Ste 410, Knoxville, TN 37916-2287 | 2019-09-18 |
| 1518513522 | Katelyn Adrianna Berg | Audiologist | 1215 21st Ave S Ste 9310, Nashville, TN 37232-0014 | 2019-08-15 |
| 1467007971 | Rachel Ann Mccurry-gaudreau | Audiologist | 5544 Franklin Pike Ste 100, Nashville, TN 37220-2104 | 2019-08-02 |
| 1144881806 | Emma Bailey | Audiologist | 6025 Walnut Grove Rd Dept C-1011, Memphis, TN 38120-2131 | 2019-06-24 |
| 1265090542 | Paige Terlizzi Lyon | Audiologist | 3926 Dayton Blvd, Chattanooga, TN 37415-2716 | 2019-06-03 |
| 1629635040 | Virginia Acosta | Audiologist | 1030 Jefferson Ave # 112h, Memphis, TN 38104-2127 | 2019-05-21 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.