Individual provider Active NPI

Gabrielle N Hahn, AUD

  • Audiologist
  • Avon, IN
National Provider Identifier
1013401454
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002653A Issued in IN
Practice address
1115 Ronald Reagan Pkwy Ste 255
Avon, IN 46123-6913
Phone
(317) 844-7059
Fax
(317) 819-0044
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002653A IN Primary

Addresses

Primary practice location

1115 Ronald Reagan Pkwy Ste 255
Avon, IN 46123-6913

Mailing address

9002 N Meridian St Ste 222
Indianapolis, IN 46260-5350
Phone (317) 844-7059

Other names 1

  • Gabrielle N Davis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GHAHN@OA2046.SRS-DIRECT.COM Direct Otolaryngology Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823002350 IN Practitioner - Qualified Audiologist 7911256953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, LLC CurrentSince Jun 19, 2018 Accepting new patients
Otolaryngology Associates LLC PastSince Jun 22, 2021 Accepting new patients

Locations

1115 Ronald Reagan Pkwy
Ste 255
Avon, IN 46123
Phone (317) 217-2255

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

2020 S State Road 135
Ste 333
Greenwood, IN 46143

9002 N Meridian St
Ste 222
Indianapolis, IN 46260
Phone (317) 573-4370

Interoperability endpoints

  • Direct secure messaging: ghahn@oa2046.srs-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1013401454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 RONALD REAGAN PKWY STE 255",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236913",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "GABRIELLE",
        "middle_name": "N",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002653A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GHAHN@OA2046.SRS-DIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Otolaryngology Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9002 North Meridian Street",
            "address_2": "Suite 222",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462605350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "DAVIS",
            "middle_name": "N",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.