DR. BENJAMIN ANDREW PETTIT (NPI# 1780137240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780137240 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ANDREW PETTIT |
| Credential | AU.D. |
| Practice Address |
915 S Baltimore St Kirksville MO 63501-4027 |
| Practice Telephone | 6609569156 |
| Practice Fax Number | 6609569151 |
| Mailing Telephone | 6609569156 |
| Mailing Fax Number | 6609569151 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2016026739 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871725044 | Benjamin Pettit | Physical Therapy Assistant | 6201 Centreville Rd, Suite 600, Centreville, VA 20121-2626 | 2009-08-20 |
| Street Address |
915 S BALTIMORE ST |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528393824 | Thomas W Barhorst Lpc | Counselor | 915 S Baltimore St, Kirksville, MO 63501-4027 | 2009-10-05 |
| 1710498019 | Hearken Hearing & Audiology LLC | Audiologist | 915 S Baltimore St, Kirksville, MO 63501-4027 | 2017-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| 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 |
|---|---|---|---|---|
| 1578041539 | Mariah Richard | Audiologist | 700 W Jefferson St, Kirksville, MO 63501-1441 | 2018-08-01 |
| 1710498019 | Hearken Hearing & Audiology LLC | Audiologist | 915 S Baltimore St, Kirksville, MO 63501-4027 | 2017-10-13 |
| 1003255456 | Woodward Audiology, LLC | Audiologist | 700 W Jefferson St, Kirksville, MO 63501-1441 | 2013-06-19 |
| 1225201338 | Michelle Luckett Woodward | Audiologist | 700 W Jefferson St, Kirksville, MO 63501-1441 | 2008-04-09 |
| 1316126873 | J Paul Hunt Phd LLC | Audiologist | 700 W Jefferson St, Kirksville, MO 63501-1441 | 2007-10-31 |
| 1942263595 | J. Paul Hunt | Audiologist | 700 W Jefferson St, Kirksville, MO 63501-1441 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1508484072 | Victoria Elizabeth Eschmann | Audiologist | 1551 Wall St Ste 100, Saint Charles, MO 63303-3540 | 2020-07-10 |
| 1174146591 | Leah Stanza | Audiologist | 1812 Nw Vesper St, Blue Springs, MO 64015-3206 | 2020-05-20 |
| 1861013500 | Concierge Hearing Care, LLC | Audiologist | 5315 Mirasol Manor Way, Eureka, MO 63025-2751 | 2020-05-05 |
| 1326685421 | Escobar Mobile Aud of Mo LLC | Audiologist | 221 Bolivar St, Jefferson City, MO 65101-1572 | 2019-12-08 |
| 1760031009 | Patty Taylor Gilberto | Audiologist | 2487 County Road 309, Poplar Bluff, MO 63901-4999 | 2019-09-10 |
| 1528611399 | Lynsey Ralston | Audiologist | 4880 Ne Goodview Cir Ste B, Lees Summit, MO 64064-1946 | 2019-07-22 |
| 1760944565 | Hearing and Audiology Sevices, LLC | Audiologist | 1722 S Glenstone Ave Ste J1, Springfield, MO 65804-1530 | 2019-04-02 |
| 1649742982 | Abdullah M Jamos | Audiologist | 3106 E Kingsley St, Springfield, MO 65804-6689 | 2018-12-27 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.