Individual provider Active NPI

Emily Troutman, AU.D.

  • Audiologist
  • Newburyport, MA
National Provider Identifier
1255707816
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1062 Issued in MA
Practice address
1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875
Phone
(978) 997-1550
NPI assigned
Aug 18, 2015
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1062 MA Primary

Addresses

Primary practice location

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875

Mailing address

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875
Phone (978) 997-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151016001295 MA Practitioner - Qualified Audiologist 7517276371 Reassigns benefits to 1 organization
I20161111000783 NH Practitioner - Qualified Audiologist 7517276371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Massachusetts Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts ENT Associates IncGroup PAC ID 6305891110, 20 clinicians

Practice addresses (Care Compare)

280 Main St
Suite 140
Nashua, NH 03060-2920
Phone (603) 594-3025

321 Billerica Rd
Suite 202
Chelmsford, MA 01824-4100
Phone (978) 256-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1062MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colden Ear Nose Throat & Allergy LLC CurrentSince Aug 20, 2015 Accepting new patients

Locations

1 Wallace Bashaw Way
Ste 3002
Newburyport, MA 01950
Phone (978) 997-1550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1255707816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-997-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-997-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.