Active NPI
Alisha Michelle Purdun
- Hearing Instrument Specialist
- Bethany, MO
National Provider Identifier
1295871572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 001012
- Practice address
- 1101 S 25TH St
Bethany, MO 64424-2611 - Phone
- (660) 425-7400
- Fax
- (660) 425-7404
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 001012 | MO | Primary |
Addresses
Primary practice location
1101 S 25TH St
Bethany, MO 64424-2611
Mailing address
1101 S 25TH St
P.O. Box 503
Bethany, MO 64424-2611
Phone (660) 425-7400
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 |
|---|---|---|---|
| 001012 | MO | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295871572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S 25TH ST",
"address_2": "P.O. BOX 503",
"city": "BETHANY",
"state": "MO",
"postal_code": "644242611",
"telephone_number": "660-425-7400",
"fax_number": "660-425-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S 25TH ST",
"city": "BETHANY",
"state": "MO",
"postal_code": "644242611",
"telephone_number": "660-425-7400",
"fax_number": "660-425-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDUN",
"first_name": "ALISHA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "001012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethany, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.