DR. DANA JICKELL (NPI# 1700245727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700245727 |
| Entity Type | Individual |
| Full Name | DR. DANA JICKELL |
| Credential | AUD |
| Practice Address |
4550 Clyde Morris Blvd Ste B Port Orange FL 32129-4080 |
| Practice Telephone | 3862654769 |
| Practice Fax Number | 3867742898 |
| Mailing Telephone | 3862654769 |
| Mailing Fax Number | 3867742898 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AY2012 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
4550 CLYDE MORRIS BLVD STE B |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659642585 | Richard Polhill Professional Hearing Solutions, LLC | Hearing Instrument Specialist | 4550 Clyde Morris Blvd Ste B, Port Orange, FL 32129-4080 | 2012-01-24 |
| 1073148417 | Hear for You Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 4550 Clyde Morris Blvd Ste B, Port Orange, FL 32129-4080 | 2020-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| 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 |
|---|---|---|---|---|
| 1124433354 | Aaron Hutchinson | Audiologist | 1175 Dunlawton Ave, Suite 101, Port Orange, FL 32127-4745 | 2014-06-26 |
| 1679180368 | Sarah Clancy | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2020-09-26 |
| 1932726171 | Rebecca Smith Burden | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2020-07-04 |
| 1659939460 | Danielle Lauren Hoffman | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2019-06-05 |
| 1518434547 | Dominique M Botta | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2018-10-29 |
| 1073050050 | Volusia Audiology LLC | Audiologist | 5889 S Williamson Blvd, Suite 1317, Port Orange, FL 32128-7134 | 2017-01-27 |
| 1457704710 | Miller Mcinnis | Audiologist | 1185 Dunlawton Ave, Ste 103, Port Orange, FL 32127-2905 | 2016-07-21 |
| 1366893984 | Taylor Unger | Audiologist | 1680 Dunlawton Ave, Port Orange, FL 32127-4754 | 2016-06-24 |
| 1184093262 | Atlantic Audiology, LLC | Audiologist | 1185 Dunlawton Ave, Suite 103, Port Orange, FL 32127-2905 | 2015-09-18 |
| 1093105280 | Stacy O'brien Audiology | Audiologist | 1185 Dunlawton Ave, Suite 103, Port Orange, FL 32127-2905 | 2015-01-27 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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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.