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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 23002690A | IN | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | PENDING | 05 |
Street Address |
1115 RONALD REAGAN PKWY STE 255 |
City | AVON |
State | IN |
Zip Code | 46123-6913 |
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 |
Find all providers in zip 46123 |
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 |
---|---|---|---|---|
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 |
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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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.