Edgeline Audiology PLLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

EDGELINE AUDIOLOGY PLLC

Practice address

4140 E Baseline Rd Ste 101
Mesa, AZ 85206-4413

Phone

(480) 545-2215

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Erik William Brizzee, AU.D., CCC-A

Title

Audiologist/Owner

Phone

(480) 545-2215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1194464388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064413",
            "telephone_number": "480-545-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064413",
            "telephone_number": "480-545-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGELINE AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "BRIZZEE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "480-545-2215",
        "authorized_official_credential": "AU.D., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary W Eden, D.O.
• Vicki Louise Eden, LPN
• Latanya Olivia Edenburgs
• Pamela Lea Edens, RN MS FNP
• Kayla May Edgar
• Edkey,Inc
• Anngela Park Edkins, PA-C
• Marisa Edmonston
• Aimee Edwards
• Amy Edwards

• All providers in Mesa, AZ
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.