Active NPI
Elise Dawn Guttridge, M.A.
- Audiologist
- Pasadena, MD
National Provider Identifier
1003077397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 728
- Practice address
- 8025 Ritchie Hwy
Suite 102
Pasadena, MD 21122 - Phone
- (410) 590-5572
- Fax
- (410) 695-3530
- NPI assigned
- Jun 19, 2008
- Last updated
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 728 | MD | Primary |
Addresses
Primary practice location
8025 Ritchie Hwy
Suite 102
Pasadena, MD 21122
Mailing address
8025 Ritchie Hwy Suite 102
3D Hearing/Beltone Hearing Aid Center
Pasadena, MD 21122
Phone (410) 590-5572
Other names 1
- Miss Elise Dawn Leavenworth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3D Hearing, Inc. | Past | Accepting new patients | |
| 3D Hearing, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1003077397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 RITCHIE HWY SUITE 102",
"address_2": "3D HEARING/BELTONE HEARING AID CENTER",
"city": "PASADENA",
"state": "MD",
"postal_code": "21122",
"telephone_number": "410-590-5572",
"fax_number": "410-695-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8025 RITCHIE HWY",
"address_2": "SUITE 102",
"city": "PASADENA",
"state": "MD",
"postal_code": "21122",
"telephone_number": "410-590-5572",
"fax_number": "410-695-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTRIDGE",
"first_name": "ELISE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISE",
"last_name": "LEAVENWORTH",
"middle_name": "DAWN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.