Individual provider Active NPI

Evan Jean Maraghy

  • Hearing Instrument Specialist
  • Saint Paul, MN
National Provider Identifier
1215971585
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA5038 Issued in CA
Practice address
20 Thompson Ave E
Suite 204
Saint Paul, MN 55118-3187
Phone
(651) 455-9724
Fax
(651) 455-9726
NPI assigned
Jun 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2195 CA
Hearing Instrument Specialist 237700000X HA5038 CA Primary

Addresses

Primary practice location

20 Thompson Ave E
Suite 204
Saint Paul, MN 55118-3187

Mailing address

5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152

Other identifiers 1

IdentifierTypeStateIssuer
AU0021950MedicaidCA

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

LicenseStateTypeSpecialty
AU2195CAMDAudiologist
HA5038CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Radiology Associates, LTD. PastSince Aug 16, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215971585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463706",
            "telephone_number": "888-333-9152",
            "fax_number": "763-268-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 THOMPSON AVE E",
            "address_2": "SUITE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183187",
            "telephone_number": "651-455-9724",
            "fax_number": "651-455-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAGHY",
        "first_name": "EVAN",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2195",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA5038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0021950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.