MEGAN M WALLACE


Address: 2502 E Empire St, Bloomington, IL 61704-3738
Phone: 3096634368

MEGAN M WALLACE (NPI# 1306192810) 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) 1306192810
Entity Type Individual
Full Name MEGAN M WALLACE
Other Name MEGAN M HEMMER
Credential AU.D.
Practice Address 2502 E Empire St
Bloomington
IL 61704-3738
Mailing Address 3401 N Perryville Rd
Rockford
IL 61114-8011
Practice Telephone 3096634368
Practice Fax Number 0952453573
Mailing Telephone 8159712000
Mailing Fax Number 8159719729
Enumeration Date 2012-08-02
Last Update Date 2020-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 147001429 IL Speech, Language and Hearing Service Providers

Other Providers MEGAN WALLACE

NPI Name Taxonomy Address Enumeration
1447725957 Megan Elizabeth Wallace Behavior Technician 784 Kelsall Dr, Richmond Hill, GA 31324-7706 2018-10-11
1386181022 Megan Wallace Nurse Practitioner 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 2017-01-19
1972838878 Megan Ann Wallace Speech-Language Pathologist 1000 W 15th St, Unit 224, Chicago, IL 60608-1882 2009-10-09
1003385170 Megan Nicol Wallace Speech-Language Pathologist 1628 19th St, Lubbock, TX 79401-4895 2018-11-19
1780123521 Megan E. Wallace Physician Assistant 9500 Euclid Ave, Cleveland, OH 44195-0001 2017-02-13
1326420720 Megan Wallace Social Worker 67 President St, Msc 861, Iop 2 South, Charleston, SC 29425-5712 2015-06-22
1174911168 Megan Wallace Nurse Anesthetist, Certified Registered 375 Dixmyth Ave, Cincinnati, OH 45220-2475 2014-12-30
1881095933 Megan Wallace Counselor 110 E Main St, Ottumwa, IA 52501-2910 2014-09-09
1306252473 Megan Wallace Occupational Therapist 162 W 72nd St, 5th Floor, New York, NY 10023-3300 2014-07-09
1518253905 Megan Wallace Speech-Language Pathologist 6180 Brockton Ave, Suite 202, Riverside, CA 92506-2228 2011-06-23

Office Location

Street Address 2502 E EMPIRE ST
City BLOOMINGTON
State IL
Zip Code 61704-3738

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235101619 Brian L Hamm Podiatrist 2502 E Empire St, Bloomington, IL 61704-3738 2006-02-01
1861035685 Tara Malinowski Nurse Practitioner 2502 E Empire St, Bloomington, IL 61704-3738 2019-10-24
1881178259 Heartland Anesthesia LLC Anesthesiology 2502 E Empire St, Bloomington, IL 61704-3738 2018-09-20
1699107797 Paige C. Holt Plastic Surgery 2502 E Empire St, Ste C, Bloomington, IL 61704-3738 2013-07-31
1295173128 Paige C Holt, Md, Ltd Plastic Surgery 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 2013-06-13
1679862056 Valerie Michele Weck Psychologist 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 2011-04-06
1770890097 Elaine Smith Registered Nurse 2502 E Empire St, Bloomington, IL 61704-3738 2010-09-08
1649466111 Crystal L Sweeney Nurse Practitioner 2502 E Empire St, Bloomington, IL 61704-3738 2007-09-19
1255527727 Laura C. Randolph Md Sc Clinic/Center 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 2007-09-19
1326233271 Barry Jay Riskin Psychiatry & Neurology 2502 E Empire St, Bloomington, IL 61704-3738 2007-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1922588235 Geethu Sabu Makil Speech-Language Pathologist 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 2018-08-16
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1649798513 Sarah Goodner Psychologist 1704 Royal Pointe Drive, Bloomington, IL 61704 2017-08-31
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
1396107918 Darla Schwertfeger Specialist/Technologist, Other 2104 Hedgewood Dr, Bloomington, IL 61704 2016-03-23
1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1235522582 All Ways Caring Services, Inc. In Home Supportive Care 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 2015-03-11
1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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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
1225438948 Catherine Hessig Audiologist 8001 Bloomington Freeway, Gn Hearing Care, Bloomington, MN 55420-1036 2014-08-29
1205245719 Deanna Marie Ginder-west Audiologist 2101 Eastland Dr Ste F, Bloomington, IL 61704-3510 2014-08-08
1316213721 Luis Camacho Audiologist 2011 N. Locust Ct., Bloomington, IN 47401 2012-03-29
1053606400 Heather Lynn White Audiologist 5931 W State Road 46, Bloomington, IN 47404-9359 2011-06-14
1134364052 Megan C Kuhn Audiologist Campus Box 4720, Illinois State University, Bloomington, IL 61790-4720 2008-12-05
1346338605 Natalie M Mckee Audiologist 816 S Eldorado Rd, Unit 1 and 2a, Bloomington, IL 61704-6000 2006-10-11
1104914423 Stacy Chalmers Audiologist 816 S Eldorado Rd Ste 1, Bloomington, IL 61704-6035 2006-10-11
1871503573 Hoosier Hearing Solutions LLC Audiologist 1355 W Bloomfield Road, Suite 3, Bloomington, IN 47403-2052 2006-08-08
1285242768 Kristin Johnson Audiologist 816 S Eldorado Rd Ste 1, Bloomington, IL 61704-6035 2020-07-21
1881218196 Anne Louise Spence Audiologist 2920 S Mcintire Dr Ste 350, Bloomington, IN 47403-4215 2020-06-02
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Competitor

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City BLOOMINGTON
Zip Code 61704

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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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