Mary J Vitt, AUD., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

3000 Issued in NM

Practice address

8200 Guadalupe TRL NW
Los Ranchos, NM 87114-1121

Phone

(505) 890-4296

Fax

(505) 890-3919

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hearusa Inc

  • Audiologist-Hearing Aid Fitter
  • West Palm Beach, FL
  • NPI 1073560231
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1073844569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 SPRINGCROFT RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205584",
            "telephone_number": "505-480-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GUADALUPE TRL NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871141121",
            "telephone_number": "505-890-4296",
            "fax_number": "505-890-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITT",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "AUD., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "3000",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80399",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "5160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TW Wellness
• Victoria Lorraine Valles-Mora, MA, LPCC
• Sherilyn N Valles
• Danielle Vann
• Dominic D Villanueva, DOM
• Sally Belle Von Erffa, LMFT
• Walgreen Co
• Dominic Weiler, FNP
• Benjamin Thomas White, RPH, PHC
• Martha White

• All providers in Los Ranchos, NM
• Audiologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.