Active NPI
Ilsa Margaret Feierabend, AU.D.
- Audiologist
- Portland, OR
National Provider Identifier
1194335109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30868
- Practice address
- 3502 NE Broadway St
Portland, OR 97232-1821 - Phone
- (503) 505-9608
- NPI assigned
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 30868 | OR | Primary |
Addresses
Primary practice location
3502 NE Broadway St
Portland, OR 97232-1821
Mailing address
3502 NE Broadway St
Portland, OR 97232-1821
Phone (608) 957-2798
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30868 | OR | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1194335109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321821",
"telephone_number": "608-957-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321821",
"telephone_number": "503-505-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIERABEND",
"first_name": "ILSA",
"middle_name": "MARGARET",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-04",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "30868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.