Organization Active NPI

Hearing Boutique, LLC

  • Audiologist
  • Cranberry TWP, PA
National Provider Identifier
1154106896
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
HEARING BOUTIQUE, LLC
Practice address
301 Smith Dr Ste 5
Cranberry TWP, PA 16066-4131
Phone
(412) 709-7997
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Melanie O'Brien MattaNPI 1902977234
Title
Owner/Aud
Phone
(412) 709-7997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

301 Smith Dr Ste 5
Cranberry TWP, PA 16066-4131

Mailing address

301 Smith Dr Ste 5
Cranberry TWP, PA 16066-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002002784 PA Part B Supplier - Clinic/Group Practice 4688028129 Receives reassigned benefits from 1 practitioner
Practice locations: Cranberry TWP, PA

National Provider Directory

National Provider Directory

Locations

301 Smith Dr
Ste 5
Cranberry Twp, PA 16066
Phone (412) 709-7997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1154106896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SMITH DR STE 5",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SMITH DR STE 5",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664131",
            "telephone_number": "412-709-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "O'BRIEN",
        "authorized_official_title_or_position": "OWNER/AUD",
        "authorized_official_telephone_number": "412-709-7997"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.