DR. PAMELA RAE DEANE RILEY (NPI# 1154432748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154432748 |
| Entity Type | Individual |
| Full Name | DR. PAMELA RAE DEANE RILEY |
| Credential | AUD., CCC-A |
| Practice Address |
919 E Jefferson Blvd Ste 104 South Bend IN 46617-3115 |
| Practice Telephone | 5742325815 |
| Practice Fax Number | 5742894327 |
| Mailing Telephone | 5742325815 |
| Mailing Fax Number | 5742894327 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | 3501002824 | MI | Speech, Language and Hearing Service Providers |
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 23002137A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER | 000000247031 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164807186 | Pamela Riley | Nurse Practitioner | 116 W Main St, Henderson, TN 38340-2231 | 2015-07-21 |
| 1467872655 | Pamela Grace Riley | Counselor | 18278 Technology Dr, Meadville, PA 16335-8380 | 2014-04-26 |
| 1922362011 | Pamela L Riley | Social Worker | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2012-07-03 |
| 1619174398 | Pamela A. Riley | Occupational Therapist | 5900 Meadow Creek Dr, Milford, OH 45150-5641 | 2007-06-27 |
| 1205913217 | Pamela Riley | Family Medicine | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2006-11-01 |
| Street Address |
919 E JEFFERSON BLVD STE 104 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013027242 | D&a Dissolving, Inc. | Audiologist-Hearing Aid Fitter | 218 S Frances St, South Bend, IN 46617-3004 | 2006-08-30 |
| 1104183474 | Michele Kari Gross | Audiologist-Hearing Aid Fitter | 919 E Jefferson Blvd, Ste.104, South Bend, IN 46617-3112 | 2012-04-11 |
| 1023172186 | Tricia L Moreno | Audiologist-Hearing Aid Fitter | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-12-21 |
| 1386708477 | Mary K Donigan | Audiologist-Hearing Aid Fitter | 6301 University Commons, Suite 360, South Bend, IN 46635-1571 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492226 | Beltopia LLC | Audiologist-Hearing Aid Fitter | 215 N Duesenberg Rd, Auburn, IN 46706-3664 | 2019-11-27 |
| 1679138317 | Spry Clear Ear | Audiologist-Hearing Aid Fitter | 827 W 45th Ave, Griffith, IN 46319-2027 | 2019-05-08 |
| 1811496151 | Aubrey Wesley | Audiologist-Hearing Aid Fitter | 5107 S Us Highway 41, Terre Haute, IN 47802-4790 | 2018-02-01 |
| 1013425339 | Jonathan Wayne James | Audiologist-Hearing Aid Fitter | 601 N 15 1/2 Street, Vincennes, IN 47591-4759 | 2018-01-22 |
| 1083082325 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 3907 Calumet Ave, Suite 201, Valparaiso, IN 46383-2269 | 2015-09-03 |
| 1689002321 | Downtown Hearing Care LLC | Audiologist-Hearing Aid Fitter | 350 N Meridian St Unit 808, Indianapolis, IN 46204-1783 | 2013-10-15 |
| 1568708220 | Teresa Smith | Audiologist-Hearing Aid Fitter | 6375 W Us 52, New Palestine, IN 46163-9750 | 2012-12-27 |
| 1013275296 | Enright & Associates, Inc | Audiologist-Hearing Aid Fitter | 607 S Villa Dr, Evansville, IN 47714-2535 | 2012-04-25 |
| 1376827303 | Waterford Hearing Center | Audiologist-Hearing Aid Fitter | 3777 N Wozniak Rd, Michigan City, IN 46360-9284 | 2011-10-10 |
| 1497050660 | Sharon J Vanderwoude | Audiologist-Hearing Aid Fitter | 8660 Broadway, Merrillville, IN 46410 | 2011-01-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.