DR. MARY T CACCAVO (NPI# 1134116031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134116031 |
Entity Type | Individual |
Full Name | DR. MARY T CACCAVO |
Credential | PH.D. |
Practice Address |
2122 Scott St. Lafayette IN 47904-2932 |
Mailing Address |
2122 Scott St. Lafayette IN 47904 |
Practice Telephone | 7654486226 |
Practice Fax Number | 7654489416 |
Mailing Telephone | 7654486226 |
Mailing Fax Number | 7654489416 |
Enumeration Date | 2005-10-05 |
Last Update Date | 2010-06-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 23001132A | IN | Speech, Language and Hearing Service Providers |
N | 237600000X | Audiologist-Hearing Aid Fitter | 23001132A | IN | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | BCBS UAW | 000000220882 | 01 |
IN | BLUE CROSS BLUE SHIELD | 000000220890 | 01 |
IN | FEDERAL BCBS | 000000220890 | 01 |
IN | 100232400A | 05 | |
IN | RAILROAD MEDICARE | 640004350 | 01 |
IN | BCBS UAW | 000000202141 | 01 |
Street Address |
2122 SCOTT ST. |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-2932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
Find all providers in zip 47904 |
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 |
---|---|---|---|---|
1154842300 | Calli Cabrini Dugas | Audiologist | 4630 Ambassador Caffery Pkwy Ste 402, Lafayette, LA 70508-6950 | 2017-06-28 |
1609268895 | Martin John Audiffred | Audiologist | 249 N College Rd, Lafayette, LA 70506-4230 | 2015-02-24 |
1235425000 | Maegan Guilbeau | Audiologist | 220 W Willow St, Bldg. A, Lafayette, LA 70501-2837 | 2011-06-21 |
1417279472 | Mtc of Indiana, Ltd. | Audiologist | 823 Park East Blvd, Lafayette, IN 47905-0787 | 2010-02-18 |
1952567273 | Amy Davis Poolson | Audiologist | 4630 Ambassador Caffery Parkway, Bldg., A, Suite 402, Lafayette, LA 70508-6949 | 2008-08-06 |
1679745301 | Valarie Kay Darr | Audiologist | 5000 Ambassador Caffrey Pkwy, Building 3, Lafayette, LA 70508 | 2008-04-02 |
1932377264 | Naomi Pontiff Theriot | Audiologist | 110 Exchange Place, Suite 100, Lafayette, LA 70503-2580 | 2008-02-20 |
1447432802 | Susan M. Taulia | Audiologist | 823 Park East Blvd # H, Lafayette, IN 47905-0787 | 2007-11-28 |
1255511929 | Audiology Associates of Acadiana | Audiologist | 110 Exchange Pl, Suite 100, Lafayette, LA 70503-2510 | 2007-11-09 |
1265574404 | Judith Marquess Olson | Audiologist | 750 Park East Blvd Ste 3, Lafayette, IN 47905 | 2007-02-13 |
Find all providers in LAFAYETTE |
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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.