Individual provider Active NPI

Annette M Spudie

  • Audiologist
  • Sylvania, OH
National Provider Identifier
1063545168
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00615 Issued in OH
Practice address
5151 S Main St
Sylvania, OH 43560
Phone
(419) 882-5000
Fax
(419) 882-5008
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00615 OH Primary

Addresses

Primary practice location

5151 S Main St
Sylvania, OH 43560

Mailing address

5151 S Main St
Sylvania, OH 43560
Phone (419) 882-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annette.spudiemafaacccs.p1@direct.whc.nextgenshare.com

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

State licenses

LicenseStateTypeSpecialty
A00615OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Care Hearing , LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: annette.spudiemafaacccs.p1@direct.whc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1063545168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-5000",
            "fax_number": "419-882-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 S MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-5000",
            "fax_number": "419-882-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPUDIE",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annette.spudiemafaacccs.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1616 E Wooster St Unit 38",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434023478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.