Individual provider Active NPI

Alicia D.D. Spoor, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Highland, MD
National Provider Identifier
1316956071
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
01145 Issued in MD
Practice address
13364A Clarksville Pike
Highland, MD 20777-9701
Phone
(443) 410-4410
NPI assigned
Aug 5, 2006
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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 01145 MD Primary

Addresses

Primary practice location

13364A Clarksville Pike
Highland, MD 20777-9701

Mailing address

1739 Carriage Lamp CT
Severn, MD 21144-6800
Phone (443) 410-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000407 MD Practitioner - Qualified Audiologist 8426056755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13364 A Clarksville Pike
Highland, MD 20777-9701
Phone (301) 854-1410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01145MDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Designer Audiology, LLC CurrentSince Aug 7, 2015 Accepting new patients

Locations

13364A Clarksville Pike
Highland, MD 20777
Phone (301) 854-1410

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1316956071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 CARRIAGE LAMP CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211446800",
            "telephone_number": "443-410-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13364A CLARKSVILLE PIKE",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779701",
            "telephone_number": "443-410-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOOR",
        "first_name": "ALICIA",
        "middle_name": "D.D.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.