Active NPI
Linda Thomas Mock, MA CCC/A
- Audiologist
- Winston Salem, NC
National Provider Identifier
1043561475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1114
- Practice address
- Wake Forest Baptist Hospital
Medical Center Blvd
Winston Salem, NC 27157-1189 - Phone
- (336) 716-3103
- Fax
- (336) 716-8161
- NPI assigned
- Sep 25, 2012
- 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 | 1114 | NC | Primary |
Addresses
Primary practice location
Wake Forest Baptist Hospital
Medical Center Blvd
Winston Salem, NC 27157-1189
Mailing address
Wake Forest Baptist Hospital
Medical Center Blvd
Winston Salem, NC 27157-1189
Phone (336) 716-3103
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1114 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1043561475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WAKE FOREST BAPTIST HOSPITAL",
"address_2": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271571189",
"telephone_number": "336-716-3103",
"fax_number": "336-716-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAKE FOREST BAPTIST HOSPITAL",
"address_2": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271571189",
"telephone_number": "336-716-3103",
"fax_number": "336-716-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCK",
"first_name": "LINDA",
"middle_name": "THOMAS",
"name_prefix": "Mrs.",
"credential": "MA CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "1114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.