MR. GREGG LYNN HACKETT (NPI# 1275623902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275623902 |
| Entity Type | Individual |
| Full Name | MR. GREGG LYNN HACKETT |
| Credential | ACA, BC-HIS |
| Practice Address |
2435 Professional Dr Suite A Santa Rosa CA 95403-3017 |
| Practice Telephone | 7075753590 |
| Practice Fax Number | 7075755329 |
| Mailing Telephone | 7075753590 |
| Mailing Fax Number | 7075755329 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA1509 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
2435 PROFESSIONAL DR SUITE A |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245577246 | Dave Gardner | Hearing Instrument Specialist | 1517 Farmers Ln, Santa Rosa, CA 95405-7525 | 2013-01-10 |
| 1699078857 | Rene L Morten | Hearing Instrument Specialist | 4725 Hoen Ave Ste B, Santa Rosa, CA 95405-9405 | 2010-12-09 |
| 1407974165 | Dennis Manthe | Hearing Instrument Specialist | 1425 Fulton Rd Ste 315, Santa Rosa, CA 95403 | 2007-03-27 |
| 1700312493 | Tina Page Afifi | Hearing Instrument Specialist | 1111 Sonoma Ave, Ste 316, Santa Rosa, CA 95405-4819 | 2017-05-02 |
| 1598217887 | Roy Lucas Bostick | Hearing Instrument Specialist | 1425 Fulton Rd, Suite 315, Santa Rosa, CA 95403-7618 | 2016-11-02 |
| 1649622549 | Ross Unguren | Hearing Instrument Specialist | 1421 Guerneville Rd, Ste 224, Santa Rosa, CA 95403-7220 | 2016-07-05 |
| 1114321668 | Chalon Leonard | Hearing Instrument Specialist | 52 Mission Cir, Suite 203, Santa Rosa, CA 95409-5369 | 2014-10-13 |
| 1750785200 | William Samuel Diles IIi | Hearing Instrument Specialist | 52 Mission Cir, Suite 203, Santa Rosa, CA 95409-5369 | 2014-10-13 |
| 1811271687 | Adam Douglas Jasa | Hearing Instrument Specialist | 1421 Guerneville Rd, 224, Santa Rosa, CA 95403-7220 | 2011-09-28 |
| 1780976357 | Michael Francis Mulvey | Hearing Instrument Specialist | 4725 Hoen Ave Ste B, Santa Rosa, CA 95405-9405 | 2011-05-13 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on MR. GREGG LYNN HACKETT.
| 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.