Individual provider Active NPI

Emma Durivage, AUD

  • Audiologist-Hearing Aid Fitter
  • Scottsdale, AZ
National Provider Identifier
1205508652
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA13444 Issued in AZ
Practice address
8300 N Hayden Rd Ste E102
Scottsdale, AZ 85258-2589
Phone
(480) 305-2033
Fax
(480) 305-2034
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA13444 AZ Primary

Addresses

Primary practice location

8300 N Hayden Rd Ste E102
Scottsdale, AZ 85258-2589

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other identifiers 1

IdentifierTypeStateIssuer
DA13444OtherAZAZ STATE DISPENSING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018003381 AZ Practitioner - Qualified Audiologist 6608242540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing Inc Audiologist-Hearing Aid Fitter CurrentSince Oct 5, 2022 Accepting new patients
Desert Hearing Care Hearing Instrument Specialist PastSince Oct 1, 2021 Accepting new patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter PastSince Oct 5, 2022 Accepting new patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

1237 S Val Vista Dr
Ste 111
Mesa, AZ 85204
Phone (480) 807-5410

100 Verde Valley School Rd
Ste 105
Sedona, AZ 86351
Phone (928) 284-1289

750 N Commons Dr
Ste 200
Aurora, IL 60504

Organizations & group practices 4

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1205508652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N HAYDEN RD STE E102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582589",
            "telephone_number": "480-305-2033",
            "fax_number": "480-305-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURIVAGE",
        "first_name": "EMMA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA13444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE DISPENSING LICENSE",
            "identifier": "DA13444",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.