DR. SHAELEEN M FAGRE (NPI# 1902054331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902054331 |
| Entity Type | Individual |
| Full Name | DR. SHAELEEN M FAGRE |
| Credential | AU.D. |
| Practice Address |
10564 5th Ave Ne #203 Seattle WA 98125-7200 |
| Mailing Address |
115 Shevlin Hall 164 Pillsbury Dr Se Minneapolis MN 55455 |
| Practice Telephone | 2063671345 |
| Mailing Telephone | 6126243322 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SPEECH LANGUAGE PATHOLOGY AUDIOLOGY BOARD | RPE 5026 | 01 |
| CA | STATE CALIFORNIA DEPT. CONSUMER AFFAIRS HEARING AID DISPENSER | HT 8374 | 01 |
| Street Address |
10564 5TH AVE NE #203 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639117393 | Gandis Mazeika | Clinic/Center | 10564 5th Ave Ne, Ste 205, Seattle, WA 98125-7200 | 2006-06-03 |
| 1104303791 | Pnw Audiology Specialty Group Pllc | Audiologist | 10564 5th Ave Ne, Seattle, WA 98125 | 2018-07-26 |
| 1790133122 | Washington Therapy Group, Inc. | Occupational Therapist | 10564 5th Ave Ne, Suite 402, Seattle, WA 98125-7200 | 2016-05-26 |
| 1184020307 | Usa Vein Clinics of Seattle, Pllc | Surgery | 10564 5th Ave Ne, Suite 102, Seattle, WA 98125-7200 | 2014-11-16 |
| 1548674617 | Steven E Schumann | Counselor | 10564 5th Ave Ne, Suite 301, Seattle, WA 98125-7200 | 2014-06-17 |
| 1164845178 | The Shamrock Group, Inc. | Community/Behavioral Health | 10564 5th Ave Ne, Suite 301, Seattle, WA 98125-7200 | 2014-01-27 |
| 1629406632 | Flat Rock Health Seattle Medical Associates | Family Medicine | 10564 5th Ave Ne, Suite 402, Seattle, WA 98125-7200 | 2013-10-30 |
| 1356785786 | Jessica Carol Rhodes | Counselor | 10564 5th Ave Ne, Suite 406, Seattle, WA 98125-7200 | 2013-04-29 |
| 1467745026 | A & A Hearing Group, Ps | Audiologist | 10564 5th Ave Ne, Suite 203, Seattle, WA 98125-7200 | 2011-05-16 |
| 1275824872 | Gail Y. Pettis | Dentist | 10564 5th Ave Ne, #205, Seattle, WA 98125-7200 | 2011-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
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| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558408146 | Susan J. Anderson | Audiologist-Hearing Aid Fitter | 4131 15th Ave Ne, Seattle, WA 98105-6250 | 2007-01-31 |
| 1003319500 | Seattle Children's Hospital | Audiologist-Hearing Aid Fitter | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2018-03-12 |
| 1811246564 | Ashley Elizabeth Schmitz | Audiologist-Hearing Aid Fitter | 4800 Sand Point Way Ne, M/s W6640, Seattle, WA 98105-3901 | 2012-09-07 |
| 1730478256 | Wilson Mayfield | Audiologist-Hearing Aid Fitter | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2011-04-05 |
| 1891918124 | Anamika T Bennett | Audiologist-Hearing Aid Fitter | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-04-11 |
| 1871622399 | Brenna S Carroll | Audiologist-Hearing Aid Fitter | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-03-02 |
| 1033259171 | Susan M Porter | Audiologist-Hearing Aid Fitter | 201 16th Ave E, Cwb-3, Seattle, WA 98112-5226 | 2007-02-07 |
| 1265570089 | Julia T Tokunaga-king | Audiologist-Hearing Aid Fitter | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-02 |
| 1952449928 | Erin J Christiansen | Audiologist-Hearing Aid Fitter | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-02 |
| 1376652495 | Sarah Elizabeth Mason | Audiologist-Hearing Aid Fitter | 4800 Sand Point Way Ne, M/s W6640, Seattle, WA 98105-3901 | 2006-08-30 |
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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.