Eileen Celeste Bernier, MA, CCC-A
Individual provider Active NPI Audiologist · Fall River, MA
NPI 1336304641 · NPPES record last updated Jul 25, 2008
Key facts
- NPI
- 1336304641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 587 (MA)
- Practice address
- 300 Hanover St
Thomas Cahill, MD
Fall River, MA 02720-5444 - Phone
- (508) 679-7709
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090406000514 | MA | Practitioner - Qualified Audiologist | 5193872364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Hospitals Group, Inc | Current |
Accepting new patients | |
| Southcoast Hospitals Group, Inc | Current | Accepting new patients | |
| Southcoast Hospitals Group Inc | Current |
Accepting new patients | |
| University Otolaryngology Head & Neck Surgery Inc. | Past |
Accepting new patients | |
| Thomas F Cahill MD LTD | Past | Accepting new patients |
Locations
300 Hanover St
Ste 4A
Fall River, MA 02720
Phone (508) 677-0700
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
300 Hanover St
Fall River, MA 02720
Phone (508) 677-0700
874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 587 | MA | Yes |
Addresses
Primary practice location
300 Hanover St
Thomas Cahill, MD
Fall River, MA 02720-5444
Mailing address
27 Swan View LN
North Kingstown, RI 02852-6136
Phone (401) 294-0136
NPI Registry JSON
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1336304641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SWAN VIEW LN",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028526136",
"telephone_number": "401-294-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HANOVER ST",
"address_2": "THOMAS CAHILL, MD",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205444",
"telephone_number": "508-679-7709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNIER",
"first_name": "EILEEN",
"middle_name": "CELESTE",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
- Cassandra Bernardo
- Denise Madeleine Bernardo
- Shelley Ann Bernardo
- Veronica Bernardo
- Ashley Bernier
- Sarah A. Bernier
- Melissa Berno
- Eric Berriault
- Patti Anne Berthelette
- Wendy Bethoney
All providers in Fall River, MA · Audiologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.