Individual provider Active NPI

Stephanie Marie Wubben, AU.D

  • Audiologist
  • Sioux Falls, SD
National Provider Identifier
1255636080
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
370-A Issued in SD
Practice address
301 W 14TH St
Sioux Falls, SD 57104-6841
Phone
(605) 338-6251
Fax
(605) 333-0018
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 370-A SD Primary

Addresses

Primary practice location

301 W 14TH St
Sioux Falls, SD 57104-6841

Mailing address

301 W 14TH St
Sioux Falls, SD 57104-6841
Phone (605) 338-6251

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
370-ASDMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1255636080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 14TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046841",
            "telephone_number": "605-338-6251",
            "fax_number": "605-333-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 14TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046841",
            "telephone_number": "605-338-6251",
            "fax_number": "605-333-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUBBEN",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SD",
            "license": "370-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.