Active NPI
Natalie Cepeda
- Audiology Assistant
- Fort Stewart, GA
National Provider Identifier
1255717476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiology Assistant
- License
- 125711A
- Practice address
- 601 Harmon Blvd
Ft. Stewart, GA 31314 - Phone
- (912) 767-3133
- NPI assigned
- Aug 11, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | |||
| Audiology Assistant | 2355A2700X | 125711A | KS | Primary |
| Other Technician | 247200000X |
Addresses
Primary practice location
601 Harmon Blvd
Ft. Stewart, GA 31314
Mailing address
601 Harmon Blvd
Ft. Stewart, GA 31314
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125711A | KS | MD | Audiology Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1255717476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HARMON BLVD",
"city": "FT. STEWART",
"state": "GA",
"postal_code": "31314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HARMON BLVD",
"city": "FT. STEWART",
"state": "GA",
"postal_code": "31314",
"telephone_number": "912-767-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEPEDA",
"first_name": "NATALIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355A2700X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Audiology Assistant",
"state": "KS",
"license": "125711A",
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.