Individual provider Active NPI

Sherri Lynn Dibattista, MA

  • Audiologist-Hearing Aid Fitter
  • Crofton, MD
National Provider Identifier
1285851766
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
00396 Issued in MD
Practice address
1667 Crofton Ctr Suite 1
Crofton, MD 21114
Phone
(410) 721-2700
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 00396 MD Primary

Addresses

Primary practice location

1667 Crofton Ctr Suite 1
Crofton, MD 21114

Mailing address

8317 Sweet Cherry LN.
Laurel, MD 20723
Phone (301) 675-6752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050218000185 DC Practitioner - Qualified Audiologist 3971555897 Reassigns benefits to 1 organization
I20050223000457 MD Practitioner - Qualified Audiologist 3971555897 Practice locations: Crofton, MD

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

1684 Village Green
Lower Level
Crofton, MD 21114-2059

818 W Diamond Ave
Gaithersburg, MD 20878-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC CurrentSince Oct 1, 2017 Accepting new patients
Village Green Primary Care, LLC PastSince Jan 1, 2018 Accepting new patients

Locations

6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409

818 W Diamond Ave
Ste 120
Gaithersburg, MD 20878
Phone (301) 869-7204

10801 Lockwood Dr
Ste 360
Silver Spring, MD 20901
Phone (301) 519-8865

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1285851766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 SWEET CHERRY LN.",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20723",
            "telephone_number": "301-675-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 CROFTON CTR SUITE 1",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "410-721-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBATTISTA",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "00396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.