CARY MOORE CUDDEBACK (NPI# 1821245515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821245515 |
| Entity Type | Individual |
| Full Name | CARY MOORE CUDDEBACK |
| Credential | AUD, CCC-A |
| Practice Address |
4805 S Western Ave Oklahoma City OK 73109-3835 |
| Practice Telephone | 4056361506 |
| Practice Fax Number | 4056361511 |
| Mailing Telephone | 4056361506 |
| Mailing Fax Number | 4056361511 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2009-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 269 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
4805 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613822 | Joe Randall Monroe | Physician Assistant | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2005-07-14 |
| 1841689510 | Ruth Bertram Laird | Dermatology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2015-01-17 |
| 1659779973 | Dermatology Associates of Oklahoma LLC | Dermatology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2014-12-18 |
| 1386719466 | Nancy Lynne Dawson | Dermatology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2006-11-22 |
| 1508964289 | Richard Beach Dawson | Otolaryngology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2006-09-20 |
| 1013985217 | Carlos Andres Garcia | Dermatology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
|---|---|---|---|---|
| 1164045399 | Gabrielle Ballard | Audiologist | 1200 Childrens Ave Ste 8c, Oklahoma City, OK 73104-4637 | 2020-05-21 |
| 1679195424 | Natalie A Dixon | Audiologist | 825 Ne 10th St # 4c, Oklahoma City, OK 73104-5417 | 2020-05-15 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1316469067 | Amber Emerson Runge | Audiologist | 825 Ne 10th St Ste 4c, Oklahoma City, OK 73104-5417 | 2017-07-14 |
| 1255764965 | Krista L Schroeder | Audiologist | 1200 Childrens Ave # 8c, Oklahoma City, OK 73104-4637 | 2013-08-16 |
| 1598103574 | Rachel Ashley Magann Faivre | Audiologist | 2637 Nw 26th St, Oklahoma City, OK 73107-2231 | 2013-06-12 |
| 1497014047 | Natalie Mae Martella | Audiologist | 3525 Nw 56th St Ste 150a, Oklahoma City, OK 73112-4548 | 2012-05-15 |
| 1942593017 | Stephanie Lynn Gannaway | Audiologist | 13401 N Western Ave Ste 404, Oklahoma City, OK 73114 | 2011-05-24 |
| 1073749107 | Kiera Marie Stephens | Audiologist | 825 N.e. 10th St, Suite 4200, Oklahoma City, OK 73104 | 2009-06-03 |
| 1750517157 | Bobbi Ward Armstrong | Audiologist | 535 Nw 9th St Ste 300, Oklahoma City, OK 73102-1073 | 2009-06-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.