Individual provider Active NPI

Patricia Moiseme Oyakhire, AUD

  • Audiologist
  • Phoenix, AZ
National Provider Identifier
1336303445
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80071 Issued in TX
Practice address
4400 N 32ND St Ste 220
Phoenix, AZ 85018-3965
Phone
(602) 956-1250
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80071 TX Primary

Addresses

Primary practice location

4400 N 32ND St Ste 220
Phoenix, AZ 85018-3965

Mailing address

1010 E McDowell Rd Ste LL1
Phoenix, AZ 85006-2606
Phone (602) 956-1250

Other identifiers 1

IdentifierTypeStateIssuer
092246MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001TXMDMental Health Counselor
80071TXMDLand Ambulance

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1336303445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE LL1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062606",
            "telephone_number": "602-956-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183965",
            "telephone_number": "602-956-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYAKHIRE",
        "first_name": "PATRICIA",
        "middle_name": "MOISEME",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.