DR. MARY AESOPH (NPI# 1710233978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710233978 |
| Entity Type | Individual |
| Full Name | DR. MARY AESOPH |
| Credential | AUD |
| Practice Address |
700 Lilly Rd Ne Olympia WA 98506-5115 |
| Practice Telephone | 3609237420 |
| Practice Fax Number | 3609237449 |
| Mailing Telephone | 3609237420 |
| Mailing Fax Number | 3609237449 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2014-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 406A | SD | Speech, Language and Hearing Service Providers |
| Street Address |
700 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253596 | Sarah Hulsey | Family Medicine | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2005-05-23 |
| 1720600141 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-05-07 |
| 1780214809 | Mary Mallette | Dietitian, Registered | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-01-16 |
| 1588207534 | Phillip Inouye | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-10-22 |
| 1083263289 | Michael Allen Foster | Physical Therapist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-09-10 |
| 1003478207 | Rhena Valentine | Midwife | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-07-08 |
| 1215495866 | Vinh Hoang Nguyen | Pharmacist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-03-02 |
| 1588147185 | Haley Mae Fuchs | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-09-10 |
| 1922588722 | Linnea Christine Robinson | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-08-21 |
| 1891272506 | Cassie Ann Icenogle | Counselor | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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| 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 |
|---|---|---|---|---|
| 1740453927 | Alison Patricia Vega | Audiologist | 365 Cooper Point Rd Nw Ste 101, Olympia, WA 98502-4462 | 2008-04-08 |
| 1306985221 | Rebecca Ann Mooney | Audiologist | 2401 Bristol Ct. Sw, Ste B-104, Olympia, WA 98502 | 2007-02-06 |
| 1689297228 | Bryce Sterling Phillips | Audiologist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2020-05-18 |
| 1588207534 | Phillip Inouye | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-10-22 |
| 1356909121 | Jenna Leigh Spegele | Audiologist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2019-06-05 |
| 1497233688 | Michala C Demars | Audiologist | 365 Cooper Point Rd Nw Ste 101, Olympia, WA 98502 | 2018-07-31 |
| 1194215426 | Lindsay Walles | Audiologist | 365 Cooper Point Rd Nw Ste 102, Olympia, WA 98502-4462 | 2018-05-11 |
| 1790274348 | Dania Elizabeth Fiorito | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506 | 2018-05-08 |
| 1922597152 | Mariana Mcilwain | Audiologist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2018-05-03 |
| 1619358595 | Debbie Sale | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2015-06-16 |
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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.