DR. LARISSA JURTSHUK (NPI# 1962661868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962661868 |
| Entity Type | Individual |
| Full Name | DR. LARISSA JURTSHUK |
| Credential | AU.D., CCC-A |
| Practice Address |
6869 Enid Ct Apt. 101 El Paso TX 79912-3164 |
| Practice Telephone | 9105876216 |
| Mailing Telephone | 9105876216 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 51469 | TX | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 51469 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
6869 ENID CT APT. 101 |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| 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 |
|---|---|---|---|---|
| 1669765855 | Robert Wright | Audiologist | 6348 Edgemere Blvd, El Paso, TX 79925-3517 | 2011-05-19 |
| 1093024598 | Renee N Williams | Audiologist | 5001 N Mesa St, Apt #1414, El Paso, TX 79912-5932 | 2010-09-30 |
| 1679731723 | Haley Jeannette Owen | Audiologist | 8838 Viscount Blvd Ste I, El Paso, TX 79925-5822 | 2008-05-27 |
| 1740453828 | Brian W. Reynolds | Audiologist | 11950 Bob Mitchell Dr, El Paso, TX 79936-4553 | 2008-04-09 |
| 1184732265 | Loren Stephen Hart I | Audiologist | 1600 Medical Center St Ste 101, El Paso, TX 79902-5008 | 2006-08-28 |
| 1588686844 | Matthew Houston Lyon | Audiologist | 1500 N Mesa St, El Paso, TX 79902-4019 | 2006-07-24 |
| 1154355907 | Armando Lujan Lopez | Audiologist | 5959 Gateway Blvd W Ste 101, El Paso, TX 79925-3331 | 2006-07-10 |
| 1497365811 | Beri Jenyse Glover | Audiologist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-08-01 |
| 1225547102 | Krystal C Ricciardi-weber | Audiologist | 5005 N Piedras St, El Paso, TX 79920-5002 | 2017-09-24 |
| 1023540770 | Tinnitus & Hearing Experts PC | Audiologist | 5959 Gateway Blvd W, Suite 101, El Paso, TX 79925-3331 | 2017-03-31 |
| Find all providers in EL PASO | ||||
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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.