Active NPI
Sheila Green, M.S.
- Audiologist
- Tempe, AZ
National Provider Identifier
1023153830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA1725
- Practice address
- 2501 E Southern Ave
Suite 21
Tempe, AZ 85282-7669 - Phone
- (480) 833-4330
- Fax
- (480) 833-1902
- NPI assigned
- Feb 20, 2007
- Last updated
- Nov 5, 2008
- 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 | DA1725 | AZ | Primary |
Addresses
Primary practice location
2501 E Southern Ave
Suite 21
Tempe, AZ 85282-7669
Mailing address
910 W Olla Ave
Mesa, AZ 85210-8216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470667 | Other | AZ | AHCCCS PIN |
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Hearcare Network, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Glendale, AZ
- NPI 1518947829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1023153830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 W OLLA AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852108216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 E SOUTHERN AVE",
"address_2": "SUITE 21",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827669",
"telephone_number": "480-833-4330",
"fax_number": "480-833-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SHEILA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA1725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS PIN",
"identifier": "470667",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.