Active NPI
Diane Roeder, MA
- Audiologist
- Bloomfield TWP, MI
National Provider Identifier
1205864758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 43494 Woodward
Ste 210
Bloomfield TWP, MI 48302 - Phone
- (248) 335-9800
- Fax
- (248) 253-9157
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
43494 Woodward
Ste 210
Bloomfield TWP, MI 48302
Mailing address
3800 Woodward Ave
Suite 702
Detroit, MI 48201-2061
Phone (313) 262-1303
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205864758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE",
"address_2": "SUITE 702",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061",
"telephone_number": "313-262-1303",
"fax_number": "313-262-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43494 WOODWARD",
"address_2": "STE 210",
"city": "BLOOMFIELD TWP",
"state": "MI",
"postal_code": "48302",
"telephone_number": "248-335-9800",
"fax_number": "248-253-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDER",
"first_name": "DIANE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.