KELLSIE BUSHO (NPI# 1255831525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255831525 |
| Entity Type | Individual |
| Full Name | KELLSIE BUSHO |
| Other Name | KELLSIE DIESER |
| Credential | AUD |
| Practice Address |
250 Hawkins Dr Iowa City IA 52242 |
| Mailing Address |
2011 Cumberland Ct Brookings SD 57006-7247 |
| Practice Telephone | 5073839091 |
| Mailing Telephone | 5073839091 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 096458 | IA | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 470-A | SD | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | STATE LICENSE NUMBER | 096458 | 01 |
| SD | STATE LICENSE NUMBER | 470-A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 Hawkins Dr, Iowa City, IA 52242 | 5073839091 |
| Street Address |
250 HAWKINS DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184682734 | Alison R. Scheer-cohen | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2006-05-03 |
| 1417516980 | Eun Kyung Jeon | Audiologist | 250 Hawkins Dr, Iowa City, IA 52242-1012 | 2019-06-10 |
| 1164989836 | Andrea Helene Gjerde Rohl | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2019-02-28 |
| 1073082442 | Erik J Jorgensen | Audiologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2018-11-15 |
| 1699295865 | Krista Rose Davidson | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2017-06-20 |
| 1720520380 | Hope Gerlach | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2016-11-14 |
| 1730631714 | Kristi Hendrickson | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2016-10-26 |
| 1740661867 | Larissa Michelle Jordan | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2015-06-15 |
| 1023495967 | State University of Iowa | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1012 | 2015-04-29 |
| 1497003883 | Rebecca Moser | Speech-Language Pathologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2012-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| 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 |
|---|---|---|---|---|
| 1164080081 | Rachael Lauren Carroll | Audiologist | 1909 Earl Rd, Iowa City, IA 52246-4331 | 2019-06-05 |
| 1932404282 | Elizabeth Stangl | Audiologist | 250 Hawkins Dr., Iowa City, IA 52242-1012 | 2011-01-18 |
| 1689712549 | State University of Iowa | Audiologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2007-02-02 |
| 1164532453 | Cheryl Sobaski | Audiologist | 2315 Cameron Way, Iowa City, IA 52246-1830 | 2006-08-30 |
| 1356393706 | Aaron Grant Packer | Audiologist | 419 N Van Buren St, Iowa City, IA 52245-2853 | 2006-05-16 |
| 1417516980 | Eun Kyung Jeon | Audiologist | 250 Hawkins Dr, Iowa City, IA 52242-1012 | 2019-06-10 |
| 1073082442 | Erik J Jorgensen | Audiologist | 250 Hawkins Dr, Iowa City, IA 52242-1025 | 2018-11-15 |
| 1356837033 | Sarah Allison Klemuk | Audiologist | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2018-07-06 |
| 1619471646 | Dana P Urbanski | Audiologist | 250 Hawkins Drive, Iowa City, IA 52242 | 2018-03-23 |
| 1881100329 | Shea Lee Becker | Audiologist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-12-20 |
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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.