Individual provider Active NPI

Megan Eggleston, HEARING SPECIALIST

  • Hearing Instrument Specialist
  • Cheyenne, WY
National Provider Identifier
1073884946
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
171 Issued in WY
Practice address
4112 Laramie St
Cheyenne, WY 82001-1969
Phone
(307) 637-7415
Fax
(307) 637-7415
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 171 WY Primary

Addresses

Primary practice location

4112 Laramie St
Cheyenne, WY 82001-1969

Mailing address

4112 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 637-7415

Other identifiers 1

IdentifierTypeStateIssuer
123855800MedicaidWY

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
171WYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1073884946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969",
            "telephone_number": "307-637-7415",
            "fax_number": "307-637-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969",
            "telephone_number": "307-637-7415",
            "fax_number": "307-637-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "MEGAN",
        "credential": "HEARING SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WY",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123855800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.