Individual provider Active NPI

Mary Kempe, HIS

  • Hearing Instrument Specialist
  • Beavercreek, OH
National Provider Identifier
1174170500
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
IL.03412 Issued in OH
Practice address
1370 N Fairfield Rd Ste F
Beavercreek, OH 45432-2681
Phone
(937) 320-1111
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X IL.03412 OH Primary

Addresses

Primary practice location

1370 N Fairfield Rd Ste F
Beavercreek, OH 45432-2681

Mailing address

2221 Equestrian Dr Apt 1a
Miamisburg, OH 45342-5661
Phone (330) 464-7790

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
IL.03412OHMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1174170500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 EQUESTRIAN DR APT 1A",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425661",
            "telephone_number": "330-464-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N FAIRFIELD RD STE F",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322681",
            "telephone_number": "937-320-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPE",
        "first_name": "MARY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "IL.03412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.