DR. TANYA MARIE MCCORMACK (NPI# 1144227356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144227356 |
| Entity Type | Individual |
| Full Name | DR. TANYA MARIE MCCORMACK |
| Credential | AUD |
| Practice Address |
1713 Madison Ave Ste 200 Washington MO 63090-4914 |
| Practice Telephone | 6363906020 |
| Practice Fax Number | 6363906021 |
| Mailing Telephone | 6363906020 |
| Mailing Fax Number | 6363906021 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2004015328 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00461427 | 01 | |
| MO | 1144227356 | 05 | |
| MO | RAILROAD MEDICARE | P01152556 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Patients First Dr, Washington, MO 630904700 | 6363901570 | 6363901571 |
| Street Address |
1713 MADISON AVE STE 200 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225601 | Washington Hearing Center, LLC | Hearing Aid Equipment | 1713 Madison Ave Ste 200, Washington, MO 63090-4914 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| 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 |
|---|---|---|---|---|
| 1770181810 | Jessica Bulley | Audiologist | 111 Michigan Ave Nw Ste 1250, Washington, DC 20010-2916 | 2020-10-12 |
| 1598380057 | Sarah Ann Sparks | Audiologist | 360 Taylor St Ne Apt 23r, Washington, DC 20017-1560 | 2020-06-10 |
| 1255963906 | Abbie Parks | Audiologist | 110 Irving St Nw Rm Ga-102, Washington, DC 20010-3017 | 2020-02-11 |
| 1033756507 | Hearing 4life Inc | Audiologist | 3301 New Mexico Ave Nw Ste 125, Washington, DC 20016-3609 | 2019-12-04 |
| 1558914770 | Gavin Charles Mahoney | Audiologist | 1145 19th St Nw Ste 402, Washington, DC 20036-3716 | 2019-07-17 |
| 1669948154 | Lisa Elizabeth Raho | Audiologist | 110 Irving St Nw Ste Ga-102, Washington, DC 20010-3017 | 2018-10-23 |
| 1801308002 | Brett Radosti | Audiologist | 1790 41st Pl Se, Washington, DC 20020-6020 | 2017-10-27 |
| 1386165447 | Mary C. Finkbone | Audiologist | 2115 Wisconsin Ave Nw Ste 202, Washington, DC 20007-2265 | 2017-06-29 |
| 1154879971 | Krystyna N Graham | Audiologist | 2440 M St Nw Ste 620, Washington, DC 20037-1565 | 2016-09-21 |
| 1508297433 | Cheri Shervin | Audiologist | 5059 Sedgwick St Nw, Washington, DC 20016-1939 | 2013-12-03 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.