Erin Renee Luettich, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1292 Issued in FL

Practice address

39 Barkley Cir
Fort Myers, FL 33907-7531

Phone

(239) 936-1616

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Renee Vides Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1326210642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531",
            "telephone_number": "239-936-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531",
            "telephone_number": "239-936-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETTICH",
        "first_name": "ERIN",
        "middle_name": "RENEE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "VIDES",
            "middle_name": "RENEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Aaron Ludwig, PT, DPT, CMT, DN
• Jack T Ludwig I, MD
• Sherry Tidroski Ludwig, RN,CDE
• Stanley Garken Lue, MD
• Glen A Luehrman, MD
• Idania Lugo Alvarez
• Madison Paige Luig, MS, CCC-SLP
• Lorraine Ann Luis, PA-C
• Deepa Vaduthalakuzhy Luka, MD
• Cynthia Ann Lukasiewicz, DO

• Audiologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.