Ellen Joan Deres, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A786 Issued in NH

Practice address

1 Pillsbury St
Concord, NH 03301-3556

Phone

(603) 856-8275

NPI assigned

Jan 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellen Joan Pearce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1174893515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013556",
            "telephone_number": "603-856-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013556",
            "telephone_number": "603-856-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_2": "Dept of Speech and Audiology",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-490-3716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERES",
        "first_name": "ELLEN",
        "middle_name": "JOAN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "9493",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "PEARCE",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Dente, MD
• Emily Depaula
• Sarah A Depelteau, MSN, APRN, FNP-C
• Jennifer Renee Dephillips, PA-C
• David W Depiero, RPH
• Candice E Derusha, PT
• Devashish Desai, MD
• Frank Desaulniers
• Michelle Desbiens
• Jillian Descoteaux, AT

• Audiologist in Concord, NH
• Providers in Concord, NH by specialty
• Audiologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.