BRENDEN C BAGNOLI (NPI# 1730747569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730747569 |
| Entity Type | Individual |
| Full Name | BRENDEN C BAGNOLI |
| Credential | AUD. |
| Practice Address |
2600 N Wyatt Dr Tucson AZ 85712-6106 |
| Mailing Address |
5755 E River Rd Apt 3603 Tucson AZ 85750-6729 |
| Practice Telephone | 5203245437 |
| Mailing Telephone | 4803588175 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | DA11835 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
2600 N WYATT DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401513 | Edith Proctor Bailey | Pediatrics | 2600 N Wyatt Dr, Children's Clinics, Tucson, AZ 85712-6106 | 2005-07-16 |
| 1245840255 | Anne Rebecca Aldrich | Physical Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2020-08-04 |
| 1144841149 | Rachel Kristine Fisher | Occupational Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2020-04-30 |
| 1962044818 | Amelia Clare Lanning | Physical Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-10-11 |
| 1114587250 | Lauren Schenk | Speech-Language Pathologist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-06-20 |
| 1376000786 | Children's Clinics for Rehabilitative Services | Clinic/Center | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-02-22 |
| 1477020733 | Denali Anne Jepsen | Physical Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2018-10-25 |
| 1801398441 | Sanam Mallik | Behavior Technician | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2018-02-28 |
| 1598284176 | Caroline Ure Madsen | Speech-Language Pathologist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2017-09-14 |
| 1154841328 | Keli Marie Perino | Dietitian, Registered | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| 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 |
|---|---|---|---|---|
| 1235748443 | Sarah Morris | Audiologist | 3505 N Campbell Ave Ste 507, Tucson, AZ 85719-2033 | 2020-07-24 |
| 1326480088 | Stacey I Trepanier | Audiologist | 6518 E Carondelet Dr, Tucson, AZ 85710-2117 | 2013-07-23 |
| 1619314028 | Karla Janet Navarro | Audiologist | 338 E Delano St, Tucson, AZ 85705-3908 | 2013-05-24 |
| 1942466743 | Abel Smith | Audiologist | 6565 E Carondelet Dr Ste 300, Tucson, AZ 85710-2158 | 2008-07-31 |
| 1053509679 | University of Arizona | Audiologist | 1131 E. 2nd Street, Tucson, AZ 85721 | 2007-10-09 |
| 1255456836 | Tucson Audiology Institute, Inc | Audiologist | 5625 E Grant Rd, Tucson, AZ 85712-2211 | 2007-03-20 |
| 1306961651 | Lynne Marie Bremer | Audiologist | Arizona State Schools for The Deaf and The Blind, 1200 W Speedway Blvd, Tucson, AZ 85745 | 2007-03-19 |
| 1710010533 | Alana Angelina Kent | Audiologist | 310 N Wilmot Rd Ste 210, Tucson, AZ 85711 | 2007-03-13 |
| 1871637546 | Frances P Harris | Audiologist | 2566 W Wayward Wind Way, Tucson, AZ 85745-3559 | 2007-02-16 |
| 1265583942 | Ronnie Conour | Audiologist | 4404 E Grant Rd, Tucson, AZ 85712-2615 | 2007-01-16 |
| Find all providers in TUCSON | ||||
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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.