Active NPI
Carolyn Ann Berridge, AU.D
- Audiologist
- Aiken, SC
National Provider Identifier
1235513300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4030
- Practice address
- 39 Varden Dr
Suite a
Aiken, SC 29803-5202 - Phone
- (803) 641-6104
- NPI assigned
- Jul 17, 2015
- Reactivated
- Jul 11, 2022
- 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 | 4030 | SC | Primary |
Addresses
Primary practice location
39 Varden Dr
Suite a
Aiken, SC 29803-5202
Mailing address
39 Varden Dr Ste a
Aiken, SC 29803-5202
Phone (803) 641-6104
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 |
|---|---|---|---|
| 4030 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1235513300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 VARDEN DR STE A",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035202",
"telephone_number": "803-641-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 VARDEN DR",
"address_2": "SUITE A",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035202",
"telephone_number": "803-641-6104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIDGE",
"first_name": "CAROLYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"deactivation_date": "2020-06-08",
"reactivation_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.