Elizabeth Holly Thibodeau, HIS, ED.D

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

441 Issued in ME

Practice address

251 US Route 1 Ste 9
Falmouth, ME 04105-1322

Phone

(207) 781-7200

Fax

(207) 781-7203

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southern Maine Hearing, Inc

  • Hearing Instrument Specialist
  • Falmouth, ME
  • NPI 1356740997

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1114683737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1 STE 9",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-781-7200",
            "fax_number": "207-781-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1 STE 9",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-781-7200",
            "fax_number": "207-781-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "ELIZABETH",
        "middle_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "HIS, ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "ME",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Falmouth",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "251 US Route 1 Ste 9",
            "city": "Falmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041051322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Storeysmith Pediatric Clinic
• Erin Mary Sullivan, BCBA
• Joshua R Tardiff
• Sergey Terrio, DC
• Elizabeth N. Thayer, LCWS
• Ralph W Thieme, D.O.
• Steven D Thomas, LMT
• Benjamin M Thompson, M.D.
• Karen Tims, APRN-FNP
• To Life Chiropractic

• Hearing Instrument Specialist in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Hearing Instrument Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.