Active NPI
Charlene M Connor
- Hearing Instrument Specialist
- Wilkes Barre, PA
National Provider Identifier
1053940353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- F3780
- Practice address
- 695 Kidder St
Wilkes Barre, PA 18702-6938 - Phone
- (570) 824-7293
- NPI assigned
- Apr 7, 2020
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | F3780 | PA | Primary |
Addresses
Primary practice location
695 Kidder St
Wilkes Barre, PA 18702-6938
Mailing address
695 Kidder St
Wilkes Barre, PA 18702-6938
Phone (570) 824-7293
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wilkes-barre |
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
| License | State | Type | Specialty |
|---|---|---|---|
| F3780 | PA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1053940353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 KIDDER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026938",
"telephone_number": "570-824-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 KIDDER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026938",
"telephone_number": "570-824-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "CHARLENE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "F3780",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wilkes-barre",
"affiliation": "N",
"address_1": "695 Kidder St",
"city": "Wilkes Barre",
"state": "PA",
"country_code": "US",
"postal_code": "187026938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.