Kathleen Stacie Theilacker, AuD
Audiologist in Clackamas, OR. Individual provider (NPI-1).
NPI number1205348166
StatusActive
Last updated in NPPESSep 14, 2022
Details
- NPI
- 1205348166
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Stacie Theilacker
- Credential
- AuD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2017
- Certification date
- Sep 14, 2022
- Last updated
- Sep 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - QUALIFIED AUDIOLOGIST
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 31052 | OR | Yes |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | 4382 | CA |
Practice location
9280 Se Sunnybrook Blvd Ste 300Clackamas, OR 97015-9353
Phone 503-233-5548 · Fax 503-230-1009
Mailing address
9280 Se Sunnybrook Blvd Ste 300Clackamas, OR 97015-9353
Phone 503-233-5548 · Fax 503-230-1009
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Audiologist providers in Clackamas, OR
- Trisha M Copeland, AUDNPI 1811145246
- Lois G Dickinson, AUDNPI 1699923029
- Lynda Lynell Gigstad Fitzpatrick, AU.D.NPI 1225365596
- Karen Fowler, MSNPI 1063437259
- Carol Ann Gregory, M.S.NPI 1205093796
- Heather Kathleen Parrish, CCC-ANPI 1801954961
- Joshua Willem Pluim, AUDNPI 1669959524
- Samantha Lee Pyne, AUDNPI 1982372058
- Christina Reyes-Fimbres, AUDNPI 1225858236
- Serena Amber-Nelle Shafer, AU.D.NPI 1679766208
All 14 Audiologist providers in Clackamas · All 2,438 providers in Clackamas
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.