DR. KIM L TILLERY (NPI# 1467599159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467599159 |
| Entity Type | Individual |
| Full Name | DR. KIM L TILLERY |
| Credential | PHD |
| Practice Address |
280 Central Ave Suny At Fredonia Fredonia NY 14063-1127 |
| Practice Telephone | 7166733203 |
| Practice Fax Number | 7166733235 |
| Mailing Telephone | 7166733203 |
| Mailing Fax Number | 7166733235 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 0014251 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508096777 | Kim E. Tillery | Pharmacist | 2638 Longbow Dr, Twin Falls, ID 83301-8946 | 2009-07-21 |
| Street Address |
280 CENTRAL AVE SUNY AT FREDONIA |
| City | FREDONIA |
| State | NY |
| Zip Code | 14063-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205855145 | Marc Luther Wilcox | Audiologist | 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 | 2006-07-19 |
| 1124485313 | Jennifer Neuffer Askar | Physician Assistant | 280 Central Ave, Fredonia, NY 14063-1127 | 2016-01-20 |
| 1427309814 | Emily Elizabeth Maytum | Nurse Practitioner | 280 Central Ave, Lograsso Hall Student Health Center, Fredonia, NY 14063-1127 | 2012-09-25 |
| 1093979833 | Christine G Gerber | Speech-Language Pathologist | 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 | 2008-07-10 |
| 1568622710 | Carrie Pincoski Musielak | Speech-Language Pathologist | 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 | 2008-06-11 |
| 1891970380 | Irene Victoria Salek-raham | Speech-Language Pathologist | 280 Central Ave, Thompson Hall -suny Fredonia, Fredonia, NY 14063-1127 | 2008-01-03 |
| 1508079567 | State of New York Comptrollers Office | Speech-Language Pathologist | 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 | 2007-05-07 |
| 1750504791 | Nicole Amber Piazza | Speech-Language Pathologist | 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 | 2007-04-10 |
| 1588799332 | Patricia Ann Boris | Nurse Practitioner | 280 Central Ave, Suny At Fredonia, Lograsso Hall Health Center, Fredonia, NY 14063-1127 | 2007-02-22 |
| 1831237965 | Timothy Overbeck | Speech-Language Pathologist | 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 | 2007-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516277 | Dawn J Manzella | Specialist | 135 W Mainn St, Fredonia, NY 14063 | 2020-10-20 |
| 1265909568 | Emily Marie Ludwig | Student in an Organized Health Care Education/Training Program | 3 Andrew Ct, Fredonia, NY 14063 | 2018-10-25 |
| 1275909129 | Diane Jo Rafan | Registered Nurse | 9705 Miller Rd, Fredonia, NY 14063 | 2015-08-14 |
| 1508281312 | Ann R Dutchess | Registered Nurse | Lakeside Clinic, 355 Central Ave, Fredonia, NY 14063 | 2014-03-03 |
| 1508134941 | Lauren Cecile Merlino | Speech-Language Pathologist | 9520 Fredonia-stockton Road, Lo Guidance Education Center, Fredonia, NY 14063 | 2011-12-13 |
| 1619287315 | Warren P. Sanderson | Registered Nurse | 264 East Main St, Fredonia, NY 14063 | 2010-10-15 |
| 1992020416 | Darwin's Health Club, Inc | Case Management | 47-53 Water Street, Fredonia, NY 14063 | 2010-03-29 |
| 1629255062 | Richard M Wright | Dentist | One Park Place, Suite #240, Fredonia, NY 14063 | 2008-01-29 |
| 1588845416 | Mark Twichell & Annette Lukasik Dds LLP | Dentist | 85 West Main Street, Fredonia, NY 14063 | 2007-11-20 |
| 1992911390 | Tracy Luise Stenger | Counselor | 105 Newton Street, Fredonia, NY 14063 | 2007-05-15 |
| Find all providers in zip 14063 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970570 | Christina Maureen Callahan | Audiologist-Hearing Aid Fitter | 41 W 25th St Fl 3, New York, NY 10010-2085 | 2020-01-03 |
| 1689218869 | Carissa Lynn Citro | Audiologist-Hearing Aid Fitter | 23 S Howell Ave Ste M, Centereach, NY 11720-4445 | 2019-10-31 |
| 1184270365 | Lindsey Beckler | Audiologist-Hearing Aid Fitter | 260 E Middle Country Rd Ste 201, Smithtown, NY 11787-2925 | 2019-08-14 |
| 1538632294 | Jin S Chang | Audiologist-Hearing Aid Fitter | 15814 Northern Blvd Ste Ml5a, Flushing, NY 11358-1600 | 2019-01-05 |
| 1023588340 | Five Star Hearing | Audiologist-Hearing Aid Fitter | 828 Hempstead Tpke Ste 5, Franklin Square, NY 11010-4341 | 2018-11-29 |
| 1619459716 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 240 W Seneca St Ste 3, Manlius, NY 13104-2451 | 2018-09-05 |
| 1053893172 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 176 N Village Ave Ste 1c, Rockville Centre, NY 11570-3800 | 2018-09-05 |
| 1154803278 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 1010 Northern Blvd Ste 318, Great Neck, NY 11021-5329 | 2018-09-05 |
| 1508348715 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 117 Terry Rd, Smithtown, NY 11787-5031 | 2018-09-04 |
| 1497235295 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 18 Westage Business Ctr Dr Ste 16, Fishkill, NY 12524-2219 | 2018-08-21 |
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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.