Active NPI
Charlotte Ecklund
- Audiologist
- Johnstown, PA
National Provider Identifier
1083045868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000573L
- Practice address
- 445 Schoolhouse Rd
Appalachia Iu8
Johnstown, PA 15904-2927 - Phone
- (814) 262-7392
- NPI assigned
- Dec 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000573L | PA | Primary |
| Speech-Language Pathologist | 235Z00000X | SL005163L | PA |
Addresses
Primary practice location
445 Schoolhouse Rd
Appalachia Iu8
Johnstown, PA 15904-2927
Mailing address
445 Schoolhouse Rd
Appalachia Iu8
Johnstown, PA 15904-2927
Phone (814) 262-7392
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 |
|---|---|---|---|
| AT000573L | PA | MD | Audiologist |
| SL005163L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1083045868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 SCHOOLHOUSE RD",
"address_2": "APPALACHIA IU8",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042927",
"telephone_number": "814-262-7392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 SCHOOLHOUSE RD",
"address_2": "APPALACHIA IU8",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042927",
"telephone_number": "814-262-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLUND",
"first_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000573L",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL005163L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.