Active NPI
Kivoney Mehrer, H.I.S.
- Hearing Instrument Specialist
- Millville, DE
National Provider Identifier
1144616202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- O3-0010283
- Practice address
- 32566 Docs PL Unit 2
Millville, DE 19967-6959 - Phone
- (302) 251-8252
- Fax
- (856) 320-2104
- NPI assigned
- Apr 15, 2015
- Last updated
- Mar 29, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 25MG00110700 | NJ | |
| Hearing Instrument Specialist | 237700000X | F03257 | PA | |
| Hearing Instrument Specialist | 237700000X | O3-0010283 | DE | Primary |
Addresses
Primary practice location
32566 Docs PL Unit 2
Millville, DE 19967-6959
Mailing address
45 Docs Place Ext
Millville, DE 19967-6751
Phone (302) 251-8252
Other names 1
- Mrs. Kivoney Wisdom
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O3-0010283 | DE | MD | Hearing Instrument Specialist |
| 25MG00110700 | NJ | MD | Hearing Instrument Specialist |
| F03257 | PA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairway Hearing Center L.L.C. | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
32566 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 251-8252
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Instrument Specialist
- Millville, DE
- NPI 1558013938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1144616202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 DOCS PLACE EXT",
"city": "MILLVILLE",
"state": "DE",
"postal_code": "199676751",
"telephone_number": "302-251-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32566 DOCS PL UNIT 2",
"city": "MILLVILLE",
"state": "DE",
"postal_code": "199676959",
"telephone_number": "302-251-8252",
"fax_number": "856-320-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRER",
"first_name": "KIVONEY",
"name_prefix": "Ms.",
"credential": "H.I.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NJ",
"license": "25MG00110700",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "F03257",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "DE",
"license": "O3-0010283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIVONEY",
"last_name": "WISDOM",
"prefix": "MRS.",
"credential": "H.I.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Millville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.