MS. ELLEN L ANDERSON (NPI# 1780690701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780690701 |
| Entity Type | Individual |
| Full Name | MS. ELLEN L ANDERSON |
| Credential | M.A. |
| Practice Address |
1287 Oliver Rd Fairfield CA 94534-3468 |
| Practice Telephone | 7074264327 |
| Practice Fax Number | 7074265190 |
| Mailing Telephone | 7074264327 |
| Mailing Fax Number | 7074265190 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU0004410 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HEARING AID LICENSE NUMBE | HA0001275 | 01 |
| CA | AU0004410 | 05 | |
| CA | DEPT. OF LABOR PROV. NUMB | 171234801 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972820736 | Ellen Anderson | Pharmacist | 112 East Second Street., Winthrop, MN 55396 | 2010-05-03 |
| 1366768129 | Ellen L Anderson | Registered Nurse | N71w35536 Mapleton Lake Dr, Oconomowoc, WI 53066-1214 | 2010-04-19 |
| 1699916288 | Ellen G Anderson | Counselor | 457 Carlisle Dr, Herndon, VA 20170-4819 | 2009-03-12 |
| 1538365226 | Ellen Z. Anderson | Physical Therapist | 791 Lamberts Mill Rd, Westfield, NJ 07090-4735 | 2007-06-21 |
| 1386288199 | Ellen Anderson | Counselor | 330 Billingsley Rd, Charlotte, NC 28211-5055 | 2019-11-05 |
| 1497313928 | Ellen Marie Anderson | Speech-Language Pathologist | 2557 Hooper Ave, Brick, NJ 08723-6238 | 2019-05-30 |
| 1760953905 | Ellen Deleiah Anderson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2018-12-16 |
| 1063982312 | Ellen L Anderson | Registered Nurse | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2018-11-29 |
| 1851872469 | Ellen Anderson | Speech-Language Pathologist | 801 Main St Ste 10, Louisville, CO 80027-1898 | 2018-08-22 |
| 1841770013 | Ellen Anderson | Occupational Therapist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2018-08-17 |
| Street Address |
1287 OLIVER RD |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144592445 | Pine River, Inc. | Audiologist-Hearing Aid Fitter | 1287 Oliver Rd, Fairfield, CA 94534-3468 | 2012-02-01 |
| 1376874529 | Jamie Diane Perro | Audiologist | 1287 Oliver Rd, Fairfield, CA 94534-3468 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| 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 |
|---|---|---|---|---|
| 1093945032 | Taronda Clark | Audiologist | 2960 Mack Rd Ste 205, Fairfield, OH 45014-5300 | 2009-07-24 |
| 1205890852 | Heidi Guzik | Audiologist | 1305 Post Road Suite 302, Richard Levin Md & Lawrence J. Fliegelmon Md LLC, Fairfield, CT 06824 | 2006-04-12 |
| 1457353484 | Mel Keith Gross | Audiologist | 1251 Nilles Rd, Ste 7, Fairfield, OH 45014-7206 | 2005-08-10 |
| 1528696465 | Monica A Guerrero Lara | Audiologist | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2020-03-27 |
| 1205473626 | Marilyn Tutt | Audiologist | 5380 Pleasant Ave Ste 1b, Fairfield, OH 45014-3500 | 2019-12-04 |
| 1396257275 | Felicia Rose Nepomuceno | Audiologist | 1620 Pennsylvania Ave Ste D, Fairfield, CA 94533-3509 | 2017-10-31 |
| 1144750910 | Garrett Mayhugh | Audiologist | 5380 Pleasant Ave Ste 1b, Fairfield, OH 45014 | 2017-06-14 |
| 1376874529 | Jamie Diane Perro | Audiologist | 1287 Oliver Rd, Fairfield, CA 94534-3468 | 2010-01-27 |
| 1619138161 | Susan Bennett | Audiologist | 1305 Post Rd, Suite 302, Fairfield, CT 06824-6016 | 2008-06-18 |
| 1417139155 | Melvin K. Gross | Audiologist | 1251 Nilles Rd, Suite #7, Fairfield, OH 45014-7206 | 2007-12-05 |
| Find all providers in FAIRFIELD | ||||
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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.