MARLENE A BEVAN (NPI# 1679518153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679518153 |
Entity Type | Individual |
Full Name | MARLENE A BEVAN |
Credential | PHD |
Practice Address |
872 Munson Ave Ste D Traverse City MI 49686-3638 |
Mailing Address |
872 Munson Ave Ste D Traverse City MI 49686-3638 |
Practice Telephone | 2312383111 |
Practice Fax Number | 2312383214 |
Mailing Telephone | 2319383111 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2019-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 231H00000X | Audiologist | MI | Speech, Language and Hearing Service Providers | |
Y | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 804707447 | 05 | |
MI | 804707456 | 05 | |
MI | BLUE CROSS BLUE SHIELD | 540B802900 | 01 |
MI | 804707465 | 05 | |
MI | 902575198 | 05 | |
MI | 903380558 | 05 | |
MI | BLUE CROSS BLUE SHIELD | 640B827240 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
829 W Main St Ste C1, Gaylord, MI 497351998 | 9897052100 | 9897052220 |
Street Address |
872 MUNSON AVE STE D |
City | TRAVERSE CITY |
State | MI |
Zip Code | 49686-3638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881951465 | Jeanne L. Lynch | Hearing Instrument Specialist | 872 Munson Ave Ste D, Traverse City, MI 49686-3638 | 2012-04-19 |
1851657506 | Audicare Hearing Centers, Inc | Clinic/Center | 872 Munson Ave Ste D, Traverse City, MI 49686-3638 | 2012-04-06 |
1295091940 | Audicare Hearing Centers Inc. | Clinic/Center | 872 Munson Ave Ste D, Traverse City, MI 49686-3638 | 2012-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
Find all providers in zip 49686 |
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 |
---|---|---|---|---|
1932144425 | Audicare Hearing Centers Inc. | Audiologist-Hearing Aid Fitter | 4620 Us 31 N, Traverse City, MI 49686-3757 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215584982 | Lorin David Riutta | Audiologist-Hearing Aid Fitter | 150 Greenwood St, Ishpeming, MI 49849-2314 | 2019-08-19 |
1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
1679042808 | John Russell Saunders | Audiologist-Hearing Aid Fitter | 27041 Schoenherr Rd Ste B, Warren, MI 48088-6674 | 2018-11-16 |
1700368875 | Diane Marie Mamut | Audiologist-Hearing Aid Fitter | 134 W Middle St Ste A, Chelsea, MI 48118-1515 | 2018-09-05 |
1750882585 | Donald Roy Schell IIi | Audiologist-Hearing Aid Fitter | 5629 Sashabaw Rd, Clarkston, MI 48346-3149 | 2018-02-27 |
1912408758 | The Hearing Loss Treatment Center | Audiologist-Hearing Aid Fitter | 214 E Elm Ave Ste 111, Monroe, MI 48162-2678 | 2018-02-27 |
1386090488 | Sterling Hearing Care | Audiologist-Hearing Aid Fitter | 2032 E Square Lake Rd Ste 200f, Troy, MI 48085-3315 | 2016-05-06 |
1497129670 | Heritage Hearing, PC | Audiologist-Hearing Aid Fitter | 23083 E Main St, Armada, MI 48005-4706 | 2015-11-25 |
1861827370 | May Audiology and Hearing Aid Center | Audiologist-Hearing Aid Fitter | 4976 N Adams Rd, Rochester, MI 48306-1416 | 2013-09-04 |
1417395344 | Bieri Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 919 N Mcewan St, Suite C, Clare, MI 48617-1234 | 2013-06-13 |
Find all providers with the same taxonomy |
City | TRAVERSE CITY |
Zip Code | 49686 |
Please comment or provide details below to improve the information on MARLENE A BEVAN.
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.