CARRIE JANECZKO (NPI# 1619988581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619988581 |
| Entity Type | Individual |
| Full Name | CARRIE JANECZKO |
| Credential | AUD |
| Practice Address |
1601 Nw 114th St Suite 230 Clive IA 50325-7007 |
| Mailing Address |
1055 6th Ave Suite 200 Des Moines IA 50314-2607 |
| Practice Telephone | 5152227761 |
| Practice Fax Number | 5152227926 |
| Mailing Telephone | 5156438672 |
| Mailing Fax Number | 5156432784 |
| Enumeration Date | 2006-08-10 |
| 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 | 0586 | IA | Speech, Language and Hearing Service Providers |
| Street Address |
1601 NW 114TH ST SUITE 230 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890611 | Deborah Huber | Nurse Practitioner | 1601 Nw 114th St, Ste 342, Clive, IA 50325-7036 | 2005-06-09 |
| 1578049367 | Elizabeth Rachel Pedersen | Pharmacist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2018-07-14 |
| 1689093551 | Andrea Reser | Physical Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7007 | 2014-04-08 |
| 1346580735 | Mercy Clinics, Inc | Occupational Therapist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2013-02-21 |
| 1942597315 | Serenity Women's Clinic | Obstetrics & Gynecology | 1601 Nw 114th St, Suite 334, Clive, IA 50325-7007 | 2011-07-06 |
| 1528388998 | Mercy Clinics, Inc | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 | 2010-06-08 |
| 1689906448 | Kellie Vermett | Specialist/Technologist, Other | 1601 Nw 114th St, Suite 244, Clive, IA 50325-7007 | 2010-02-04 |
| 1538390810 | Janet Lebsack | Occupational Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7046 | 2009-08-04 |
| 1285874362 | Farhoud Khosravi | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7007 | 2009-03-02 |
| 1629229091 | Karen Kraemer | Audiologist | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| 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 |
|---|---|---|---|---|
| 1750801726 | Julia Katherine Omtvedt | Audiologist | 12499 University Ave Ste 200, Clive, IA 50325-8288 | 2017-06-21 |
| 1144493610 | Barbara Elaine Nelson | Audiologist | 1601 Nw 114th St Ste 230, Clive, IA 50325-7035 | 2008-04-07 |
| 1013537950 | Mckenzie Rosdail Kaus | Audiologist | 12499 University Ave Ste 200, Clive, IA 50325-8288 | 2020-04-21 |
| 1447811856 | Emily Goetz | Audiologist | 12499 University Ave Ste 200, Clive, IA 50325-8288 | 2019-06-26 |
| 1053978056 | Elise Dornbier | Audiologist | 12499 University Ave Ste 200, Clive, IA 50325-8288 | 2019-05-24 |
| 1841778222 | Iowa Ear Technology | Audiologist | 12499 University Ave Ste 200, Clive, IA 50325-8288 | 2018-07-30 |
| 1356836043 | Kylee Elizabeth Parr | Audiologist | 12499 University Ave Ste 200, Clive, IA 50325-8288 | 2018-06-26 |
| 1275886053 | Beth Joann Macpherson | Audiologist | 12499 University Ave, Suite 200, Clive, IA 50325-8288 | 2012-10-18 |
| 1629229091 | Karen Kraemer | Audiologist | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2008-10-03 |
| 1376715615 | Lisa Marie Gardner | Audiologist | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2008-03-27 |
| Find all providers in CLIVE | ||||
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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.