DR. RUSSELL JAMES FANKHOUSER (NPI# 1851487953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851487953 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL JAMES FANKHOUSER |
| Credential | AU. D. CCCA |
| Practice Address |
306 Sunset Drive Suite 103 Johnson City TN 37604 |
| Mailing Address |
1185 Bullock Hollow Rd Bristol TN 37620-1113 |
| Practice Telephone | 4233289190 |
| Practice Fax Number | 4233289189 |
| Mailing Telephone | 4238784171 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A0000000247 | TN | Speech, Language and Hearing Service Providers |
| Street Address |
306 SUNSET DRIVE SUITE 103 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598819021 | Craig Carroll Livesay | Chiropractor | 306 Sunset Drive, Ste 100, Johnson City, TN 37604 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1164978383 | Thomas J Hladnik Jr. | Audiologist | 3060 Franklin Terrace Drive, Hearing Aid Center, Johnson City, TN 37604-4123 | 2016-08-28 |
| 1639503287 | Johnson Hearing Technology and Communication, Pllc | Audiologist | 2831 E Oakland Ave Ste 2, Johnson City, TN 37601-1300 | 2013-08-29 |
| 1417298969 | Marcy Kay Hite | Audiologist | 156 South Dossett Drive, Johnson City, TN 37614-1702 | 2013-03-08 |
| 1548422330 | East Tennessee State University | Audiologist | 837 Pardee St, Johnson City, TN 37601-5900 | 2008-07-02 |
| 1629284906 | Sarah A Schumaier | Audiologist | 106 E. Watauga Avenue, Johnson City, TN 37601 | 2007-05-15 |
| 1932284221 | Jennifer Blevins Robinson | Audiologist | 204 Dogwood Ave., Department of Veterans Affairs Medical Center (126), Johnson City, TN 37684 | 2006-10-26 |
| 1861589517 | Christopher Andrew Burks | Audiologist | 306 Sunset Dr, Suite 103, Johnson City, TN 37604-2492 | 2006-10-06 |
| 1962432609 | Medical Education Assistance Corporation | Audiologist | 156 S Dossett Drive, Johnson City, TN 37614-1702 | 2006-07-04 |
| 1770527053 | Daniel R. Schumaier | Audiologist | 106 E Watauga Ave, Johnson City, TN 37601-4628 | 2006-06-16 |
| 1316906647 | Shannon Blevins Bramlette | Audiologist | 156 S. Dossett Drive, Lamb Hall, Room 363, Johnson City, TN 37614 | 2006-03-23 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.