DR. DIANA JANE BERTELSEN ESHLEMAN (NPI# 1376647065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376647065 |
| Entity Type | Individual |
| Full Name | DR. DIANA JANE BERTELSEN ESHLEMAN |
| Other Name | MISS DIANA JANE BERTELSEN |
| Credential | AUD |
| Practice Address |
621 E Center Ave Mooresville NC 28115 |
| Mailing Address |
621 E Center Ave Mooresville NC 28115-2572 |
| Practice Telephone | 7047997925 |
| Practice Fax Number | 8443152237 |
| Mailing Telephone | 7047997925 |
| Mailing Fax Number | 8443152237 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 10615 | NC | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 10615 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE | Q44149A | 01 |
| NC | BCBS | 182R4 | 01 |
| SC | WELLCARE | 1198481 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 149 Plantation Ridge Dr, Suite 190, Mooresville, NC 281179174 | 7046580595 | 7046580916 |
| Street Address |
621 E CENTER AVE |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245692920 | All Generations Audiology, Pllc | Hearing Aid Equipment | 621 E Center Ave, Mooresville, NC 28115-2572 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| 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 |
|---|---|---|---|---|
| 1710466214 | Jasmine Patterson Wilson | Audiologist | 114 Morlake Dr Ste 101a, Mooresville, NC 28117-9209 | 2018-08-07 |
| 1003184433 | Kevin P Burkhardt | Audiologist | 149 Plantation Ridge Dr, Suite 190, Mooresville, NC 28117-9174 | 2011-12-13 |
| 1306017686 | Julie A Palazzolo | Audiologist | 114 Gateway Blvd Suite B, Carolina Ent/hnsc Pa, Mooresville, NC 28117 | 2008-03-14 |
| 1760537823 | Bruce Kerr Chatterton | Audiologist | 584 Brawley School Rd, Suite 103, Mooresville, NC 28117-8158 | 2007-01-25 |
| 1497743272 | Nancy M George | Audiologist | 1001 Hadley Road, Mooresville, IN 46158-1794 | 2005-10-06 |
| 1235757220 | Nathan Forrest Danneker | Audiologist | 149 Plantation Ridge Dr Ste 190, Mooresville, NC 28117-9178 | 2020-07-07 |
| 1831743558 | Lauren Ashley Putira | Audiologist | 149 Plantation Ridge Dr Ste 190, Mooresville, NC 28117-9178 | 2019-07-31 |
| 1568980134 | Kaitlin E Alsman | Audiologist | 1001 Hadley Rd, Mooresville, IN 46158-1794 | 2017-09-05 |
| 1730583758 | Justin Nicholas Mcgrath | Audiologist | 149 Plantation Ridge Dr, Suite 190, Mooresville, NC 28117-9178 | 2014-10-20 |
| 1154742336 | Del Hawk | Audiologist | 140 Gateway Blvd, Mooresville, NC 28117-5540 | 2013-12-14 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
Please comment or provide details below to improve the information on DR. DIANA JANE BERTELSEN ESHLEMAN.
| 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.