Active NPI
Louise Marie Schultz, CCC-A
- Audiologist
- Syracuse, NY
National Provider Identifier
1083904395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 57 001717-1
- Practice address
- 335 Montgomery St
Carnegie School Room 200
Syracuse, NY 13202-2009 - Phone
- (315) 435-4210
- Fax
- (315) 435-4553
- NPI assigned
- Apr 8, 2011
- Last updated
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 57 001717-1 | NY | Primary |
Addresses
Primary practice location
335 Montgomery St
Carnegie School Room 200
Syracuse, NY 13202-2009
Mailing address
141 W. Newell St. Room 221
McKinley Brighton School
Syracuse, NY 13205
Phone (315) 435-4210
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 |
|---|---|---|---|
| 57 001717-1 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1083904395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 W. NEWELL ST. ROOM 221",
"address_2": "MCKINLEY BRIGHTON SCHOOL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13205",
"telephone_number": "315-435-4210",
"fax_number": "315-435-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 MONTGOMERY ST",
"address_2": "CARNEGIE SCHOOL ROOM 200",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022009",
"telephone_number": "315-435-4210",
"fax_number": "315-435-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "LOUISE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "57 001717-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.