MS. SUSAN CLARE BRODERICK (NPI# 1750504890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750504890 |
Entity Type | Individual |
Full Name | MS. SUSAN CLARE BRODERICK |
Credential | MA |
Practice Address |
11973 Camp Eden Rd Golden CO 80403-8606 |
Practice Telephone | 3033786914 |
Practice Fax Number | 3036427659 |
Mailing Telephone | 3033786914 |
Mailing Fax Number | 3036427659 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 17755034 | CO | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | CDE TEACHER LICENSE | 0287715 | 01 |
CO | 17755034 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073002556 | Susan Bernice Broderick | Social Worker | 40w222 Lafox Rd Ste P2b, St Charles, IL 60175-7625 | 2018-05-09 |
1669784401 | Susan H Broderick | Physical Therapist | 590 Middlebury Rd, Suite A, Middlebury, CT 06762-2562 | 2010-07-09 |
1326184417 | Susan S Broderick | Social Worker | 4400 Breckenridge Ln, 1st Floor, Louisville, KY 40218-4082 | 2007-01-29 |
Street Address |
11973 CAMP EDEN RD |
City | GOLDEN |
State | CO |
Zip Code | 80403-8606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417229394 | Dami Ann Hughes | Massage Therapist | 19562 W 57th Circle, Golden, CO 80403 | 2012-02-07 |
1942446075 | Laura Brett | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2008-12-18 |
1952453664 | Jan M. Oxman | Psychologist | 17830 W. 53rd Drive, Golden, CO 80403 | 2007-01-16 |
1609935337 | Julie Ann Lindsay | Physical Therapist | 109 Rubey Dr, Suite G-h, Golden, CO 80403 | 2006-12-08 |
1285660936 | Theraphysics Partners of Colorado, Inc. | Physical Therapist | 112 N Rubey Dr Unit 135, Golden, CO 80403 | 2006-06-24 |
1811930043 | Cynthia K Petrinovic | Occupational Therapist | 3935 Douglas Mtn Drive, Golden, CO 80403 | 2006-06-14 |
1245716075 | Brittany Horrigan | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-15 |
1710463765 | Ciara Falzone | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-12 |
1982199899 | Elizabeth Mweru Wambugu | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-06-25 |
1114463882 | Summit Speech and Language Therapy, LLC | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2017-01-18 |
Find all providers in zip 80403 |
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 |
---|---|---|---|---|
1659928992 | Alison Labrec | Audiologist | 1030 Johnson Rd Ste 130, Golden, CO 80401-6016 | 2019-08-21 |
1447778980 | Daniel Stephen Talian | Audiologist | 1030 Johnson Rd Ste 180, Golden, CO 80401-6016 | 2017-09-05 |
1912160565 | Laura K Wilson | Audiologist | 1930 Denver West Dr, Apt 711, Golden, CO 80401-3159 | 2008-07-03 |
1932698305 | Filiberto Alex Gonzalez | Audiologist | 1030 Johnson Rd Ste 180, Golden, CO 80401-6046 | 2018-05-01 |
1952743890 | Hearing Rehabilitation Center Inc | Audiologist | 2801 Youngfield St, Unit 100, Golden, CO 80401-2263 | 2013-07-19 |
1346586054 | Angelina Rose Espinosa | Audiologist | 2801 Youngfield St, Unit 100, Golden, CO 80401-2263 | 2012-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208171 | Juliana Alyssa Dezolt | Audiologist | 6375 Lehman Dr Ste 100, Colorado Springs, CO 80918-1427 | 2020-09-03 |
1003427394 | Emily Marice Smith | Audiologist | 2000 S Colorado Blvd # T1-7300, Denver, CO 80222-7900 | 2020-08-11 |
1699398412 | Elizabeth Pancoast | Audiologist | 409 Ucb 2501 Kittredge Loop Drive, Boulder, CO 80309-0001 | 2020-05-27 |
1275169997 | Western Colorado Hearing Clinic Pllc | Audiologist | 2372 G Rd Ste 270, Grand Junction, CO 81505-9679 | 2020-03-13 |
1124652482 | Connect Hearing, Inc. | Audiologist | 1801 59th Ave Ste 201, Greeley, CO 80634-7981 | 2020-02-26 |
1942834205 | Connect Hearing, Inc. | Audiologist | 1440 W 29th St Ste 300, Loveland, CO 80538-2459 | 2020-02-26 |
1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
1548744238 | Mackenzie Phillips | Audiologist | 200 Plaza Dr Ste 110, Highlands Ranch, CO 80129-2348 | 2018-09-19 |
1144708892 | Ashley Piccone | Audiologist | 3805 Yellow Pine Pl, Loveland, CO 80538-8904 | 2018-08-04 |
1700363124 | Whitney Nicole Haggerty | Audiologist | 777 Bannock St Fl E2, Denver, CO 80204-4507 | 2018-07-27 |
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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.