Individual provider Active NPI

Kivoney Mehrer, H.I.S.

  • Hearing Instrument Specialist
  • Millville, DE
National Provider Identifier
1144616202
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
O3-0010283 Issued in DE
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
O3-0010283DEMDHearing Instrument Specialist
25MG00110700NJMDHearing Instrument Specialist
F03257PAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairway Hearing Center L.L.C. Hearing Instrument Specialist CurrentSince Feb 1, 2022 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.

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.

Verify at the official NPI Registry.