MR. RYAN THIBEAULT (NPI# 1346572815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346572815 |
| Entity Type | Individual |
| Full Name | MR. RYAN THIBEAULT |
| Credential | AS |
| Practice Address |
35 University Blvd North Jacksonville FL 32211 |
| Practice Telephone | 9047251955 |
| Practice Fax Number | 9047251977 |
| Mailing Telephone | 9047251955 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS4287 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
35 UNIVERSITY BLVD NORTH |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| 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 |
|---|---|---|---|---|
| 1063020915 | April Christine Gonzalez | Hearing Instrument Specialist | 1500 Beach Blvd Ste 314, Jacksonville, FL 32250-2621 | 2020-07-16 |
| 1891257242 | Jennifer G Keyes | Hearing Instrument Specialist | 12740 Atlantic Blvd Ste 8, Jacksonville, FL 32225-3199 | 2019-04-04 |
| 1164888723 | Hearing Healthcare Management | Hearing Instrument Specialist | 3792 Henderson Dr, Jacksonville, NC 28546-5236 | 2016-01-12 |
| 1407251762 | Candace Faith Cook | Hearing Instrument Specialist | 765 Jim Blake Rd, Jacksonville, NC 28540-7705 | 2014-10-29 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1902206238 | Travis Jones Martin Jr. | Hearing Instrument Specialist | 215 Western Blvd, Suite 300, Jacksonville, NC 28546-5730 | 2014-08-22 |
| 1902184948 | Bradley Cole Kirkpatrick | Hearing Instrument Specialist | 3832 Baymeadows Rd, Ste 7, Jacksonville, FL 32217-5605 | 2011-07-25 |
| 1104113547 | Roberto Cabrera | Hearing Instrument Specialist | 12341 Yellow Bluff Rd Ste 4, Jacksonville, FL 32226-2014 | 2011-07-06 |
| 1174849087 | Jessi N Suminski | Hearing Instrument Specialist | 6014 San Jose Blvd W, Jacksonville, FL 32217-2365 | 2010-04-16 |
| 1689822751 | Mefl, LLC | Hearing Instrument Specialist | 11363 San Jose Blvd Ste 104, Jacksonville, FL 32223-7958 | 2008-09-03 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
Please comment or provide details below to improve the information on MR. RYAN THIBEAULT.
| 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.