BONNIE L PENDLETON (NPI# 1164519971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164519971 |
| Entity Type | Individual |
| Full Name | BONNIE L PENDLETON |
| Other Name | BONNIE L JEANS |
| Credential | AU.D.,M.A. CCC-SLP/A |
| Practice Address |
6806 Sw Oakland Ln Lawton OK 73505-5018 |
| Practice Telephone | 5805125010 |
| Mailing Telephone | 5805125010 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 239 | OK | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 2133 | OK | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100657760F | 05 | |
| OK | 100657760A | 05 | |
| OK | 100657760E | 05 |
| Street Address |
6806 SW OAKLAND LN |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1578946810 | Shane Dollarhite | Audiologist | 4404 Nw Cache Rd, Ste 4, Lawton, OK 73505-3403 | 2015-07-06 |
| 1699705475 | Sharly Michelle Hooper | Audiologist | Usphs Indian Hospital, 1515 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-07-04 |
| 1689670077 | Marshall Krizoa Nguessan | Audiologist | 1102 Se 36th St, Ste B, Lawton, OK 73501-8458 | 2005-06-22 |
| 1114341823 | Connect Hearing, Inc. | Audiologist | 1603 W Gore Blvd, Ste A, Lawton, OK 73501-3610 | 2014-02-17 |
| 1083816490 | Tyler Tate Bay | Audiologist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2007-06-05 |
| 1508812884 | Michele L Rogers | Audiologist | 4920 Sw Lee Blvd, Lawton, OK 73505-8339 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949590 | Blair Kathryn Hosier | Audiologist | 7614 E 91st St Ste 160, Tulsa, OK 74133-6047 | 2020-07-22 |
| 1164045399 | Gabrielle Ballard | Audiologist | 1200 Childrens Ave Ste 8c, Oklahoma City, OK 73104-4637 | 2020-05-21 |
| 1679195424 | Natalie A Dixon | Audiologist | 825 Ne 10th St # 4c, Oklahoma City, OK 73104-5417 | 2020-05-15 |
| 1932721917 | Danielle Knight | Audiologist | 2405 S Bryant Ave Ste 100, Edmond, OK 73013-6169 | 2020-05-12 |
| 1306342621 | Professional Hearing Healthcare PC | Audiologist | 5022 E 101st St, Tulsa, OK 74137-5803 | 2018-04-04 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1316469067 | Amber Emerson Runge | Audiologist | 825 Ne 10th St Ste 4c, Oklahoma City, OK 73104-5417 | 2017-07-14 |
| 1942739578 | Lauren S Main | Audiologist | 4564 S Harvard Ave Ste A, Tulsa, OK 74135-2918 | 2017-06-07 |
| 1558801654 | Desirae Webb | Audiologist | 5020 E. 68th Street, Tulsa, OK 74136-3356 | 2017-03-08 |
| 1013381565 | Calyn Cheyenne Russ | Audiologist | 3954 N Kickapoo Ave, Shawnee, OK 74804-1698 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
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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.