KAREN SUSAN KIBBE


Address: 6020 San Jose Blvd W, Jacksonville, FL 32217-2365
Phone: 9044254393

KAREN SUSAN KIBBE (NPI# 1184923559) 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) 1184923559
Entity Type Individual
Full Name KAREN SUSAN KIBBE
Other Name KAREN KIBBE-MICHAL
Credential AUDIOLOGIST
Practice Address 6020 San Jose Blvd W
Jacksonville
FL 32217-2365
Mailing Address 8800 Se Sunnyside Rd Ste 300n
Clackamas
OR 97015-5703
Practice Telephone 9044254393
Mailing Telephone 2812862999
Enumeration Date 2011-03-24
Last Update Date 2017-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist AY1665 FL Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003108371A 05
FL 0035037-00 05

Office Location

Street Address 6020 SAN JOSE BLVD W
City JACKSONVILLE
State FL
Zip Code 32217-2365

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1336605005 Mary Ellen Mccullough-list Behavior Technician 3437 Miruelo Circle North, Jacksonville, FL 32217 2019-02-18
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1548779929 Acumed Medical Ltd. Durable Medical Equipment & Medical Supplies 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 2017-09-28
1437685526 Ward Zeigler Behavior Technician 3437 Miruelo Cr. N., Jacksonville, FL 32217 2017-05-10
1538695754 Shilonda Peterson-jackson Technician, Other 3437 Miruelo Cr N, Jacksonville, FL 32217 2017-05-08
1114467834 Louis R. Lothman Counselor 3734 San Viscaya Dr., Jacksonville, FL 32217 2017-02-28
1023490141 A Gentle Touch Home Health Care LLC. Home Health 5991 Chester Avenue, Jacksonville, FL 32217 2015-06-25
1912320334 Christopher Marshall Fuller Developmental Therapist 5132 Edgeware Ct., Jacksonville, FL 32217 2014-01-22
1790040020 Maria R. Tapia Psychologist 7680 Smullian Trail West, Jacksonville, FL 32217 2012-07-12
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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
1386129591 Kelsey Ilene Keimig Audiologist 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 2018-10-03
1417464538 Staverman Hearing Centers, LLC Audiologist 12276 San Jose Blvd Ste 710, Jacksonville, FL 32223-8674 2018-01-10
1487171377 Katherine Cardona Audiologist 10475 Centurion Parkway, N Suite 303, Jacksonville, FL 32256 2017-08-23
1144687658 Kelly A. Eaton Audiologist 10475 Centurion Pkwy N Ste 300, Jacksonville, FL 32256-5004 2016-01-28
1134597016 Lauren Dexter Miller Audiologist 2051 Art Museum Dr Ste 130, Jacksonville, FL 32207-2512 2015-09-09
1417200940 Connect Hearing, Inc. Audiologist 4509 Saint Johns Ave, Suite 7, Jacksonville, FL 32210-1855 2012-10-22
1558619452 Natalla Shonay Mccoy Audiologist 7119 Swamp Flower Dr N, Jacksonville, FL 32244-6157 2012-08-27
1811277288 Katherine Michelle Lang Audiologist 7740 Point Meadows Dr Ste 7, Jacksonville, FL 32256-9180 2011-08-17
1376848770 Northland Hearing Centers, Inc. Audiologist 6020 San Jose Blvd, Suite 615, Jacksonville, FL 32217-2365 2011-01-14
1164509741 Advanced Audio-medical, Inc. Audiologist 2815 Village Grove Dr S, Jacksonville, FL 32257-6253 2006-11-01
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City JACKSONVILLE
Zip Code 32217

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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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