MARY KATHLEEN DRAKE (NPI# 1346332947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346332947 |
| Entity Type | Individual |
| Full Name | MARY KATHLEEN DRAKE |
| Credential | AUD CCCA |
| Practice Address |
1104 7th Ave South Msum Box 119 Moorhead MN 56563-0001 |
| Practice Telephone | 2184775953 |
| Practice Fax Number | 5184774392 |
| Mailing Telephone | 2184775953 |
| Mailing Fax Number | 5184774392 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 7305 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 54228 | 05 | |
| ND | BCBS | 22624 | 01 |
| MN | BCBS | 426S9DR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215067921 | Mary Jo Drake | Nurse Practitioner | 4112 Ne Vivion Rd, Kansas City, MO 64119-2811 | 2007-03-06 |
| 1518038645 | Mary R Drake | Occupational Therapist | 728 Post Rd E, Westport, CT 06880-5200 | 2006-11-12 |
| 1831109362 | Mary Drake | Emergency Medicine | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2006-08-08 |
| 1720036205 | Mary Kay Drake | Radiology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-05 |
| Street Address |
1104 7TH AVE SOUTH MSUM BOX 119 |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56563-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073605697 | Bruce R Hanson | Speech-Language Pathologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-09-29 |
| 1083066252 | Lowell Matthew Buysse | Speech-Language Pathologist | 1104 7th Ave South, Murray Hall, Moorhead, MN 56563-0001 | 2016-07-12 |
| 1891906202 | Joni K Mehrhoff | Speech-Language Pathologist | 1104 7th Ave South, Moorhead, MN 56563 | 2007-05-25 |
| 1558421404 | Minnesota State Colleges & Universities | Audiologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-12-11 |
| 1083788376 | Marie E Swanson | Speech-Language Pathologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-11-20 |
| 1215000963 | Minnesota State Colleges & Universities | Speech-Language Pathologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-11-17 |
| 1003908492 | Vicki L Riedinger | Speech-Language Pathologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-09-29 |
| 1336231943 | Richard K Adler | Speech-Language Pathologist | 1104 7th Ave South, Moorhead, MN 56563-0001 | 2006-09-29 |
| 1366534968 | Jane C Mccabe | Speech-Language Pathologist | 1104 7th Ave South, Moorhead, MN 56563-0001 | 2006-09-29 |
| 1013009638 | Louis J Demaio | Speech-Language Pathologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658549 | Charles Meek | Specialist/Technologist | Minnesota State University Moorhead, Nemzek Hall Room 125, Moorhead, MN 56563 | 2014-07-31 |
| 1073648259 | Allan James Luistro | Family Medicine | 1104 7th Ave S., Box 92 Msum Hendrix Clinic & Counseling Center, Moorhead, MN 56563 | 2007-02-21 |
| 1356378848 | Keith Allen Wiedrich | Specialist/Technologist | 1107 7th St. S., Msu Moorhead - Athletics, Moorhead, MN 56563 | 2006-06-28 |
| 1235103284 | Ronda K Peterson | Specialist/Technologist | 125 Nemzek, Msum, Moorhead, MN 56563 | 2006-02-15 |
| 1124092176 | Andrea Lynn Scott | Specialist/Technologist | Nemzek 125, Minnesota State University Moorhead, Moorhead, MN 56563 | 2006-02-15 |
| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 1659688034 | Maribeth Kay Plankers | Speech-Language Pathologist | 1104 7th Avenue South, Msum, Moorhead, MN 56563-0001 | 2010-09-08 |
| 1700119351 | Elaine K. Pyle | Speech-Language Pathologist | 1104 7th Ave. South, Msum Box 119, Moorhead, MN 56563-0001 | 2009-09-15 |
| 1457325763 | Christopher Jason Huot | Specialist/Technologist | 1104 7th Ave S, 106 C Nemzek Hall, Moorhead, MN 56563-0001 | 2006-02-14 |
| 1144799875 | Chikara Hiraoka | Specialist/Technologist | 1104 7th Ave S, Moorhead, MN 56563-0001 | 2018-11-26 |
| Find all providers in zip 56563 | ||||
| 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 |
|---|---|---|---|---|
| 1558421404 | Minnesota State Colleges & Universities | Audiologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839715 | Thomas J Tedeschi | Audiologist | 150 S 5th St Ste 2300, Minneapolis, MN 55402-4223 | 2020-04-13 |
| 1902435514 | Robert Lang | Audiologist | 1597 Park Ave, White Bear Lake, MN 55110-3704 | 2020-04-06 |
| 1528625290 | Kara Rae Balken | Audiologist | 7300 France Ave S Ste 101, Edina, MN 55435-4525 | 2019-05-28 |
| 1538724612 | Elizabeth Mary Butler | Audiologist | 1155 E County Road E, Ste 100, Minneapolis, MN 55110-5191 | 2019-05-05 |
| 1417422445 | Joelle Peterson | Audiologist | 12925 16th Ave N, Plymouth, MN 55441-4560 | 2018-10-05 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1700313681 | Hannah Catherine Erickson Herd | Audiologist | 701 25th Ave S Fl 2, Minneapolis, MN 55454 | 2017-05-22 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1457711327 | Reynolds Audiology LLC | Audiologist | 2155 Woodlane Drive, Suite 103, Woodbury, MN 55125-3049 | 2016-03-04 |
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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.