DR. KRISTA LYN FOGLTANZ


Address: 200 S Executive Dr, Brookfield, WI 53005-4216
Phone: 8889646681

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 200 S EXECUTIVE DR
City BROOKFIELD
State WI
Zip Code 53005-4216

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(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

Providers in the same taxonomy and city

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
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Competitor

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City BROOKFIELD
Zip Code 53005

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Dataset Information

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.

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