RENE L MORTEN (NPI# 1699078857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699078857 |
| Entity Type | Individual |
| Full Name | RENE L MORTEN |
| Practice Address |
4725 Hoen Ave Ste B Santa Rosa CA 95405-9405 |
| Mailing Address |
750 N Commons Dr Ste 200 Aurora IL 60504-7940 |
| Practice Telephone | 7075421154 |
| Practice Fax Number | 7075424818 |
| Mailing Telephone | 6303035380 |
| Mailing Fax Number | 6303035385 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 7471 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HEARING AID DISPENSER'S LICENSE | HA7471 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 840 Willow St Ste 300, San Jose, CA 951252377 | 4082719447 | 4082719642 |
| 4725 Hoen Ave Ste B, Santa Rosa, CA 954059405 | 7075421154 | 7075424818 |
| 5180 N Fresno St, Suite 102, Fresno, CA 937106853 | 5592241344 | 5592343814 |
| Street Address |
4725 HOEN AVE STE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222988 | Malica Ly | Audiologist | 4725 Hoen Ave Ste B, Santa Rosa, CA 95405-9405 | 2020-07-16 |
| 1780976357 | Michael Francis Mulvey | Hearing Instrument Specialist | 4725 Hoen Ave Ste B, Santa Rosa, CA 95405-9405 | 2011-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245577246 | Dave Gardner | Hearing Instrument Specialist | 1517 Farmers Ln, Santa Rosa, CA 95405-7525 | 2013-01-10 |
| 1407974165 | Dennis Manthe | Hearing Instrument Specialist | 1425 Fulton Rd Ste 315, Santa Rosa, CA 95403 | 2007-03-27 |
| 1275623902 | Gregg Lynn Hackett | Hearing Instrument Specialist | 2435 Professional Dr, Suite A, Santa Rosa, CA 95403-3017 | 2006-10-13 |
| 1700312493 | Tina Page Afifi | Hearing Instrument Specialist | 1111 Sonoma Ave, Ste 316, Santa Rosa, CA 95405-4819 | 2017-05-02 |
| 1598217887 | Roy Lucas Bostick | Hearing Instrument Specialist | 1425 Fulton Rd, Suite 315, Santa Rosa, CA 95403-7618 | 2016-11-02 |
| 1649622549 | Ross Unguren | Hearing Instrument Specialist | 1421 Guerneville Rd, Ste 224, Santa Rosa, CA 95403-7220 | 2016-07-05 |
| 1114321668 | Chalon Leonard | Hearing Instrument Specialist | 52 Mission Cir, Suite 203, Santa Rosa, CA 95409-5369 | 2014-10-13 |
| 1750785200 | William Samuel Diles IIi | Hearing Instrument Specialist | 52 Mission Cir, Suite 203, Santa Rosa, CA 95409-5369 | 2014-10-13 |
| 1811271687 | Adam Douglas Jasa | Hearing Instrument Specialist | 1421 Guerneville Rd, 224, Santa Rosa, CA 95403-7220 | 2011-09-28 |
| 1780976357 | Michael Francis Mulvey | Hearing Instrument Specialist | 4725 Hoen Ave Ste B, Santa Rosa, CA 95405-9405 | 2011-05-13 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.