LISA FAZALARE (NPI# 1144258674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144258674 |
| Entity Type | Individual |
| Full Name | LISA FAZALARE |
| Credential | M.S., CCC-A |
| Practice Address |
1 Medical Center Drive Clarksburg WV 26301 |
| Mailing Address |
19 Benton Ln Fairmont WV 26554-8365 |
| Practice Telephone | 3046233461 |
| Mailing Telephone | 3046233461 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A-0111 | WV | Speech, Language and Hearing Service Providers |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900457 | John Edward Damm | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2005-05-29 |
| 1396358461 | Karene Teresa Moses | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301-3859 | 2020-08-28 |
| 1437760964 | Lindsay M Pomp | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301 | 2020-08-10 |
| 1174084735 | Brianna Godfrey | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-03-27 |
| 1477018695 | Emma Elizabeth Cogar | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-02-01 |
| 1528539285 | Elizabeth Ann Masters | Nurse Practitioner | 1 Medical Center Drive, Clarksburg, WV 26301 | 2018-12-06 |
| 1407321748 | Maureen Gallagher Russell | Physician Assistant | 1 Medical Center Drive, Behavioral Health Department, Clarksburg, WV 26301 | 2018-10-12 |
| 1851806178 | Paul Jerome Robrecht Jr. | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-12-08 |
| 1265943856 | Amanda Marie Dent | Dietitian, Registered | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-10-23 |
| 1154848554 | Katrina Louise Durst | Pharmacist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1124167036 | Cynthia Nardelli | Audiologist | 620 Rosebud Plz, Clarksburg, WV 26301-9386 | 2007-02-06 |
| 1114957982 | Valerie S. Graham | Audiologist | 110 N 6th St, Clarksburg, WV 26301-2602 | 2006-07-04 |
| 1265884613 | Christa Nadeene Browning | Audiologist | 95 Rosebud Plz, 112, Clarksburg, WV 26301-9823 | 2016-07-11 |
| 1629165303 | Sarah Luanne Merritt | Audiologist | 1 Medical Center Drive, Louis A. Johnson Va Medical Cent, Clarksburg, WV 26301 | 2006-10-06 |
| 1083669253 | Doreen Church Maurer | Audiologist | One Medical Center Drive, Clarksburg, WV 26301 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339556 | Anna Sampson | Audiologist | 719 Fairmont Ave Ste 203, Fairmont, WV 26554-5118 | 2020-09-03 |
| 1972161677 | Elizabeth Ann Seckman | Audiologist | 48 Washington Ave, Wheeling, WV 26003-6241 | 2019-05-29 |
| 1750863213 | Mariah Brooke Jennings | Audiologist | 1399 Midway Rd, Belington, WV 26250-7793 | 2018-08-31 |
| 1649768243 | Brianna Rose Brown | Audiologist | 2520 Valley Dr Ste 112, Point Pleasant, WV 25550-2031 | 2018-04-29 |
| 1477079390 | Vishakha W Rawool | Audiologist | 355 Oakland Street, 805 Allen Hall, Morgantown, WV 26506-6122 | 2017-08-22 |
| 1215338181 | Carlee Ann Squires | Audiologist | 2012 Garfield Ave Ste 4, Parkersburg, WV 26101-2539 | 2014-09-10 |
| 1760893473 | Mountaineer Audiology LLC | Audiologist | 24881 Old Northwest Turnpike Rd, Romney, WV 26757-8000 | 2014-05-15 |
| 1457697880 | Stacia Dawn Demoss | Audiologist | 1425 Earl L Core Rd, Morgantown, WV 26505-5885 | 2012-12-12 |
| 1861745432 | Connect Hearing, Inc. | Audiologist | 229 Church St S Ste E, Ripley, WV 25271-1509 | 2012-10-19 |
| 1871857193 | Andrea Yost | Audiologist | 1191 Pineview Dr Ste H3, Morgantown, WV 26505-2778 | 2012-07-02 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.