Active NPI
Clarice Martha Hauschildt, AUD
- Audiologist
- Charleston, SC
National Provider Identifier
1013576214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4122
- Practice address
- 135 Rutledge Ave
Charleston, SC 29425-8903 - Phone
- (843) 792-1414
- NPI assigned
- Jun 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4122 | SC | Primary |
| Audiologist | 231H00000X |
Addresses
Primary practice location
135 Rutledge Ave
Charleston, SC 29425-8903
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4122 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients |
Locations
135 Rutledge Ave
Charleston, SC 29425
Phone (803) 569-1757
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
135 Rutledge Ave
#216
Charleston, SC 29425
Phone (843) 876-1308
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Charleston, SC
- NPI 1548413453
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1013576214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 RUTLEDGE AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSCHILDT",
"first_name": "CLARICE",
"middle_name": "MARTHA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4122",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.