Alycia Dae Neidlinger, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA3044 Issued in CA

Practice address

12139 5TH St
Yucaipa, CA 92399-2417

Phone

(909) 790-7762

Fax

(909) 790-7772

NPI assigned

Sep 3, 2009

Last updated

Sep 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1245463439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 5TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992417",
            "telephone_number": "909-790-7762",
            "fax_number": "909-790-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 5TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992417",
            "telephone_number": "909-790-7762",
            "fax_number": "909-790-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDLINGER",
        "first_name": "ALYCIA",
        "middle_name": "DAE",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.