MR. KENNETH WAYNE RUBENACKER (NPI# 1659409126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659409126 |
| Entity Type | Individual |
| Full Name | MR. KENNETH WAYNE RUBENACKER |
| Credential | M.S., CCC-A |
| Practice Address |
417 South Kingshighway Sikeston MO 63801-2923 |
| Mailing Address |
417 S Kingshighway St Sikeston MO 63801-2923 |
| Practice Telephone | 5734717264 |
| Practice Fax Number | 5734717264 |
| Mailing Telephone | 5734717264 |
| Mailing Fax Number | 5734717264 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 231H00000X | Audiologist | 01570 | MO | Speech, Language and Hearing Service Providers |
| X | 237700000X | Hearing Instrument Specialist | 000803 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 121820 | 01 |
| MO | UNITED HEALTHCARE | 45-00333 | 01 |
| MO | HEALTHLINK | 531661 | 01 |
| Street Address |
417 SOUTH KINGSHIGHWAY |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| 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 |
|---|---|---|---|---|
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1508484072 | Victoria Elizabeth Eschmann | Audiologist | 1551 Wall St Ste 100, Saint Charles, MO 63303-3540 | 2020-07-10 |
| 1174146591 | Leah Stanza | Audiologist | 1812 Nw Vesper St, Blue Springs, MO 64015-3206 | 2020-05-20 |
| 1861013500 | Concierge Hearing Care, LLC | Audiologist | 5315 Mirasol Manor Way, Eureka, MO 63025-2751 | 2020-05-05 |
| 1326685421 | Escobar Mobile Aud of Mo LLC | Audiologist | 221 Bolivar St, Jefferson City, MO 65101-1572 | 2019-12-08 |
| 1760031009 | Patty Taylor Gilberto | Audiologist | 2487 County Road 309, Poplar Bluff, MO 63901-4999 | 2019-09-10 |
| 1528611399 | Lynsey Ralston | Audiologist | 4880 Ne Goodview Cir Ste B, Lees Summit, MO 64064-1946 | 2019-07-22 |
| 1760944565 | Hearing and Audiology Sevices, LLC | Audiologist | 1722 S Glenstone Ave Ste J1, Springfield, MO 65804-1530 | 2019-04-02 |
| 1649742982 | Abdullah M Jamos | Audiologist | 3106 E Kingsley St, Springfield, MO 65804-6689 | 2018-12-27 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
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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.