Individual provider Active NPI

Karla K Quillen

  • Hearing Instrument Specialist
  • Rehoboth Beach, DE
National Provider Identifier
1164829875
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
02731 Issued in MD
Practice address
103 Bryan Dr
Rehoboth Beach, DE 19971-9731
Phone
(443) 235-4461
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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 02731 MD Primary
Hearing Instrument Specialist 237700000X 030000251 DE
Hearing Instrument Specialist 237700000X 2101002079 VA

Addresses

Primary practice location

103 Bryan Dr
Rehoboth Beach, DE 19971-9731

Mailing address

103 Bryan Dr
Rehoboth Beach, DE 19971-9731
Phone (443) 235-4461

Other names 1

  • Karla K Speidel 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
030000251DEMDHearing Instrument Specialist
02731MDMDHearing Instrument Specialist
2101002079VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear on the Shore, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1164829875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BRYAN DR",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199719731",
            "telephone_number": "443-235-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BRYAN DR",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199719731",
            "telephone_number": "443-235-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLEN",
        "first_name": "KARLA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MD",
            "license": "02731",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "DE",
            "license": "030000251",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101002079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "SPEIDEL",
            "middle_name": "K",
            "credential": "HAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.