EMILY ELYSE BRENNECKE


Address: 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123-6913
Phone: 3178447059

EMILY ELYSE BRENNECKE (NPI# 1184286783) 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) 1184286783
Entity Type Individual
Full Name EMILY ELYSE BRENNECKE
Credential AUD
Practice Address 1115 Ronald Reagan Pkwy Ste 255
Avon
IN 46123-6913
Mailing Address 9002 N Meridian St Ste 222
Indianapolis
IN 46260-5350
Practice Telephone 3178447059
Practice Fax Number 3178190044
Mailing Telephone 3178447059
Mailing Fax Number 3178190044
Enumeration Date 2019-07-03
Last Update Date 2019-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 23002690A IN Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN PENDING 05

Office Location

Street Address 1115 RONALD REAGAN PKWY STE 255
City AVON
State IN
Zip Code 46123-6913

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669018669 Dienye Williams Pharmacist 108 North Sr 267, Avon, IN 46123 2019-11-25
1992353817 Debra Blackwell Technician 8198 Montage Ave, Apt 104, Avon, IN 46123 2019-09-04
1932675766 Blake Ponist Occupational Therapist 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 2018-10-19
1396238150 Sarah Sweany Dietitian, Registered Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 2018-06-07
1124516257 Sheree Itza Counselor 6655 E Us Highway 36 Ste 100, Avon, IN 46123 2018-04-24
1255860607 Jonathan Lambert Dentist 110 N Avon Ave B, Avon, IN 46123 2017-06-08
1023546629 10439 E Us Highway 36 Dental, LLC Dentist 10439 E Us Highway 36, Avon, IN 46123 2017-05-25
1902330756 Melissa Wheatley Occupational Therapy Assistant 6294 Forest View Court, Avon, IN 46123 2017-04-19
1932555844 Gal Marcan Family Medicine 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 2016-05-10
1962871301 Annette Joelene Oechsle Health Educator 1820 South County Road 525 East, Avon, IN 46123 2015-09-16
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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
1316166556 Melanie S Wege Audiologist 415 4th St Nw, Avon, MN 56310-9593 2007-04-25
1346652195 Connect Hearing Audiologist 5250 E Us Highway 36, Ste 155, Avon, IN 46123-9199 2014-05-28
1952602997 Joshua G Elzinga Audiologist 1115 N Ronald Reagan Pkwy, Suite 255, Avon, IN 46237-6341 2010-11-08
1831405422 Amanda N Crishon Audiologist 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123-6910 2010-08-20
1699977520 Shannon L Austin Audiologist 1115 N Ronald Reagan Pkwy, Ste 255, Avon, IN 46123-6913 2007-06-04
1154535714 Rebecca J Trepcos Audiologist 1115 Ronald Reagan Pkwy, Ste 254, Avon, IN 46123-6910 2007-05-10
1982734422 Hearing Center, Inc. Audiologist 5250 E Us Highway 36, Ste 155, Avon, IN 46123-9078 2007-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053922187 Ryan David Leahy Audiologist 480 W Navajo St Ste A, West Lafayette, IN 47906-1940 2020-08-12
1720698558 Shelby Zimmerman Audiologist 11725 Illinois St Ste 447, Carmel, IN 46032-3010 2020-08-06
1902441868 Carolyn Herbert Audiologist 8330 Naab Rd Ste 235, Indianapolis, IN 46260-1932 2019-11-14
1518517002 Katherine Noelle Griffith Audiologist 2421 Plum Woods Dr, Sellersburg, IN 47172-9081 2019-09-17
1548818131 Allison Kern Audiologist 9106 N Meridian St Ste 200, Indianapolis, IN 46260-1826 2019-08-28
1508419359 Barbara L Martig Audiologist 8425 Woodfield Crossing Blvd Ste 100, Indianapolis, IN 46240-7316 2019-07-22
1952961591 Sarah Jewel Gurnik Audiologist 2020 S State Road 135 Ste 200, Greenwood, IN 46143-6503 2019-06-17
1942869292 Elizabeth Zuber Audiologist 9604 Coldwater Rd Ste 103, Fort Wayne, IN 46825-2096 2019-06-11
1225696875 Angela Pollack Audiologist 201 N Illinois St Fl 16, Indianapolis, IN 46204-1904 2019-05-30
1013401454 Gabrielle N Hahn Audiologist 2020 State Road 135, Suite 333, Greenwood, IN 46143-6588 2018-06-19
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City AVON
Zip Code 46123

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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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