DR. KRISTA LYN FOGLTANZ (NPI# 1174140115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174140115 |
Entity Type | Individual |
Full Name | DR. KRISTA LYN FOGLTANZ |
Credential | AUD |
Practice Address |
200 S Executive Dr Brookfield WI 53005-4216 |
Mailing Address |
4715 W Whitetail Ct Manitowoc WI 54220-8305 |
Practice Telephone | 8889646681 |
Mailing Telephone | 9203230136 |
Enumeration Date | 2020-06-25 |
Last Update Date | 2020-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 231H00000X | Audiologist | 721-156 | WI | Speech, Language and Hearing Service Providers |
Y | 231H00000X | Audiologist | 147.001770 | IL | Speech, Language and Hearing Service Providers |
Street Address |
200 S EXECUTIVE DR |
City | BROOKFIELD |
State | WI |
Zip Code | 53005-4216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326079716 | Jeffrey L. Morer, Od, PC | Optometrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-07-05 |
1053953984 | Neuropsychological Services of Southeastern Wisconsin, Ltd | Clinical Neuropsychologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2019-10-11 |
1265968036 | Crystal Avery | In Home Supportive Care | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2017-05-11 |
1275914483 | Legacy Physiatry Group Wisconsin, LLC | Internal Medicine | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2015-06-12 |
1629377676 | Maria Christine Jenkins | Dental Hygienist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2011-03-16 |
1124338462 | Genevieve Pressman | Pedorthist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2010-10-20 |
1679886915 | Natasha Marie Ming | Dental Hygienist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2010-07-15 |
1447589783 | Ryan R. Blair | Hearing Instrument Specialist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-12-16 |
1679802409 | Impressions of Increase, Inc. | In Home Supportive Care | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-12-07 |
1114157955 | Demetria Martin | Podiatrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
Find all providers in zip 53005 |
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 |
---|---|---|---|---|
1396105987 | Seamus Doyle | Audiologist | 19475 W North Ave Ste 301, Brookfield, WI 53045-4199 | 2016-02-25 |
1619286408 | Monica L. Dentino | Audiologist | 3230 Old Lantern Dr, Brookfield, WI 53005-3016 | 2010-09-28 |
1164749362 | Advanced Hearing Solutions of Wisconsin Sc | Audiologist | 12780 W North Ave, Suite B, Brookfield, WI 53005-4601 | 2010-04-27 |
1952590473 | Healthdrive Audiology Group, PC | Audiologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2007-10-22 |
1003027210 | Kathryn M Olsen | Audiologist | 12780 W North Ave, Suite B, Brookfield, WI 53005-4601 | 2007-05-28 |
1114080009 | Jane M Elliott | Audiologist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-12-19 |
1265539597 | Jennifer Zakry Mihalek | Audiologist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-09-20 |
1134230626 | Armona Rose Nadler-strick | Audiologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2006-08-31 |
1811928062 | Mobile Audiology Associates, P.C. | Audiologist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-07-05 |
1578501730 | Jane Marie Sebzda | Audiologist | 16985 W Bluemound Rd, Brookfield, WI 53005-5946 | 2006-06-02 |
Find all providers in BROOKFIELD |
City | BROOKFIELD |
Zip Code | 53005 |
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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.