Active NPI
Maureen Ann Miller, M.A., CCC-A
- Audiologist
- Bridgewater, MA
National Provider Identifier
1285782771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD100127
- Practice address
- Two Lakeshore Center Bridgewater
Bridgewater, MA 02324 - Phone
- (617) 804-4738
- NPI assigned
- Jan 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD100127 | MA | Primary |
Addresses
Primary practice location
Two Lakeshore Center Bridgewater
Bridgewater, MA 02324
Mailing address
243 Charles St
Boston, MA 02114-3096
Phone (617) 573-3266
Other practice location 1
825 Main St Fl 1
South Weymouth, MA 02190-1659
Phone (781) 337-3424
Other practice location 2
243 Charles St
Boston, MA 02114-3096
Phone (617) 573-3266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801003937 | MA | Practitioner - Qualified Audiologist | 1759828288 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 Crown Colony Dr
Quincy, MA 02169-0904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD100127 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Suburban Ear, Nose & Throat Assoc Inc | Past | Accepting new patients | |
| Massachusetts Eye and Ear Associates LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Quincy, MA
- NPI 1992186035
-
- Otolaryngology Physician
- South Weymouth, MA
- NPI 1568572907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1285782771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-573-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TWO LAKESHORE CENTER BRIDGEWATER",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "02324",
"telephone_number": "617-804-4738"
}
],
"practiceLocations": [
{
"address_1": "825 Main St Fl 1",
"address_purpose": "LOCATION",
"city": "South Weymouth",
"state": "MA",
"postal_code": "021901659",
"country_code": "US",
"telephone_number": "781-337-3424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "243 Charles St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021143096",
"country_code": "US",
"telephone_number": "617-573-3266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MAUREEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2024-07-31",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "AUD100127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.