Professional Audiology PC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

PROFESSIONAL AUDIOLOGY PC

Practice address

330 Borthwick Ave
Suite 209
Portsmouth, NH 03801-4174

Phone

(603) 436-8668

Fax

(603) 436-4499

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Erica L Regan, AUDNPI 1902143100

Title

Owner

Phone

(603) 436-8668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica L Regan, AUD

  • Audiologist
  • Portsmouth, NH
  • NPI 1902143100
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy K Charest, AUD

  • Audiologist
  • Portsmouth, NH
  • NPI 1316284599
  Medicare reassignment Care Compare group NPD
• Racheal Faye Rush, MCD CCCA

  • Audiologist
  • Portsmouth, NH
  • NPI 1558346486
  Medicare reassignment Care Compare group NPD
• Sally Woodie Fodero

  • Audiologist
  • Greenland, NH
  • NPI 1306822580
  NPD (past)

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1255685483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 209",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-436-8668",
            "fax_number": "603-436-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 209",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-436-8668",
            "fax_number": "603-436-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-436-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80648803",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Audiologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.