DR. ALICIA ELLEN WOOTEN (NPI# 1760888218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760888218 |
| Entity Type | Individual |
| Full Name | DR. ALICIA ELLEN WOOTEN |
| Other Name | DR. ALICIA ELLEN WHITE |
| Credential | AU.D. |
| Practice Address |
620 Walton Dr Farmington MO 63640-1935 |
| Practice Telephone | 5737560500 |
| Practice Fax Number | 5737560505 |
| Mailing Telephone | 5737560500 |
| Mailing Fax Number | 5737560505 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2014035188 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607530 | Alicia K. Wooten | Behavioral Analyst | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2019-03-06 |
| Street Address |
620 WALTON DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124060561 | Audiology & Hearing Center of Farmington, Inc | Audiologist-Hearing Aid Fitter | 620 Walton Dr, Farmington, MO 63640-1935 | 2006-06-11 |
| 1083156749 | David Shepard | Hearing Instrument Specialist | 620 Walton Dr, Farmington, MO 63640-1935 | 2016-11-12 |
| 1184097875 | Audiology & Hearing Center of Farmington, Inc | Hearing Instrument Specialist | 620 Walton Dr, Farmington, MO 63640-1935 | 2015-11-04 |
| 1366451916 | Karen Renee Melton | Audiologist | 620 Walton Dr, Farmington, MO 63640-1981 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1972551042 | Lynn K Sparkes | Audiologist | 201 Front St, Farmington, ME 04938 | 2006-05-04 |
| 1093713257 | Diana C Delisa | Audiologist | 1245 Farmington Ave, Suite 2, Farmington, CT 06107-2667 | 2005-07-12 |
| 1992708226 | Lynn M Firestone | Audiologist | 21 South Rd, Ste 112, Farmington, CT 06032-2410 | 2005-05-31 |
| 1316509631 | Nina Kashanian | Audiologist | 21 South Rd, Farmington, CT 06032-2482 | 2019-07-08 |
| 1275027302 | Tessa Smolinski | Audiologist | 21 South Rd, Farmington, CT 06032-2482 | 2018-06-21 |
| 1700233327 | Hillary Kathleen Siddons | Audiologist | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-6228 | 2016-05-24 |
| 1134598014 | Cynthia Frey | Audiologist | 1400a E 20th St, Farmington, NM 87401-9024 | 2015-09-21 |
| 1497137392 | Hometown Hearing & Audiology, Inc. | Audiologist | 301 N Washington St, 4b, Farmington, MO 63640-1750 | 2015-06-26 |
| 1457692121 | James Hatten Howard | Audiologist | 263 Farmington Ave, Suite A-130, Farmington, CT 06030-6228 | 2013-03-06 |
| 1871842435 | Luke Anderson Hinzmann | Audiologist | 801 W Maple St, Farmington, NM 87401 | 2012-08-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.