Individual provider Active NPI

Marybeth Zill, M.S.,CCC-A

  • Audiologist
  • Redwood City, CA
National Provider Identifier
1154494433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1092 Issued in CA
Practice address
1800 Broadway St
Suite 5
Redwood City, CA 94063-2086
Phone
(650) 299-2985
Fax
(650) 299-2990
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU1092 CA Primary

Addresses

Primary practice location

1800 Broadway St
Suite 5
Redwood City, CA 94063-2086

Mailing address

733 Raney CT
Santa Clara, CA 95050-5533
Phone (408) 296-8100

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AU1092CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154494433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 RANEY CT",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505533",
            "telephone_number": "408-296-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BROADWAY ST",
            "address_2": "SUITE 5",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632086",
            "telephone_number": "650-299-2985",
            "fax_number": "650-299-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILL",
        "first_name": "MARYBETH",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.