Individual provider Active NPI

Marianne D Towell

  • Audiologist-Hearing Aid Fitter
  • Pascagoula, MS
National Provider Identifier
1043239114
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A0095 Issued in MS
Practice address
2210 Old Mobile Ave
Pascagoula, MS 39567-4464
Phone
(228) 769-7786
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A0095 MS Primary

Addresses

Primary practice location

2210 Old Mobile Ave
Pascagoula, MS 39567-4464

Mailing address

2210 Old Mobile Ave
Pascagoula, MS 39567-4464
Phone (228) 769-7786

Other identifiers 1

IdentifierTypeStateIssuer
00075025MedicaidMS

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
A0095MSMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043239114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 OLD MOBILE AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674464",
            "telephone_number": "228-769-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 OLD MOBILE AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674464",
            "telephone_number": "228-769-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWELL",
        "first_name": "MARIANNE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MS",
            "license": "A0095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00075025",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.