Individual provider Active NPI

Camille Ann Meine

  • Hearing Instrument Specialist
  • Fort Worth, TX
National Provider Identifier
1013313352
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
80640 Issued in TX
Practice address
6353 Camp Bowie Blvd
#113
Fort Worth, TX 76116-5482
Phone
(817) 731-4327
Fax
(817) 731-3563
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80640 TX Primary

Addresses

Primary practice location

6353 Camp Bowie Blvd
#113
Fort Worth, TX 76116-5482

Mailing address

6353 Camp Bowie Blvd
#113
Fort Worth, TX 76116-5482
Phone (817) 731-4327

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80640TXMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1013313352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 CAMP BOWIE BLVD",
            "address_2": "#113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165482",
            "telephone_number": "817-731-4327",
            "fax_number": "817-731-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 CAMP BOWIE BLVD",
            "address_2": "#113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165482",
            "telephone_number": "817-731-4327",
            "fax_number": "817-731-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINE",
        "first_name": "CAMILLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.