Active NPI
Terry L. Roberts, AU.D.
- Audiologist-Hearing Aid Fitter
- Alexandria, LA
National Provider Identifier
1275714388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 2580
- Practice address
- 4007 Parliament Dr
Alexandria, LA 71303-3018 - Phone
- (318) 442-9812
- Fax
- (318) 449-4985
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2580 | LA | Primary |
Addresses
Primary practice location
4007 Parliament Dr
Alexandria, LA 71303-3018
Mailing address
4007 Parliament Dr
Alexandria, LA 71303-3018
Phone (318) 442-9812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080109000147 | LA | Practitioner - Qualified Audiologist | 4082794680 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2580 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Hearing Group LLC | Current | Accepting new patients |
Locations
4007 Parliament Dr
Alexandria, LA 71303
Phone (318) 442-9812
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Palm Harbor, FL
- NPI 1053056846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1275714388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 PARLIAMENT DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033018",
"telephone_number": "318-442-9812",
"fax_number": "318-449-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 PARLIAMENT DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033018",
"telephone_number": "318-442-9812",
"fax_number": "318-449-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "TERRY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "LA",
"license": "2580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.