Active NPI
Marla J Allard, CCC-A
- Audiologist
- Worcester, MA
National Provider Identifier
1245370378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 494
- Practice address
- 48 Elm St
Worcester, MA 01609-2541 - Phone
- (508) 757-0330
- Fax
- (508) 754-9426
- NPI assigned
- Feb 7, 2007
- 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 | 494 | MA | Primary |
Addresses
Primary practice location
48 Elm St
Worcester, MA 01609-2541
Mailing address
48 Elm St
Worcester, MA 01609-2541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD0077 | Other | MA | BLUE CROSS |
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 |
|---|---|---|---|
| 494 | MA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245370378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 ELM ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ELM ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092541",
"telephone_number": "508-757-0330",
"fax_number": "508-754-9426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLARD",
"first_name": "MARLA",
"middle_name": "J",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AD0077",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
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.