Active NPI
Cecelia Shireen Chamberlain, AU.D.
- Audiologist
- Centerville, OH
National Provider Identifier
1356656573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01746
- Practice address
- 872 E Franklin St Ste a
Centerville, OH 45459-5610 - Phone
- (937) 435-0423
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01746 | OH | Primary |
Addresses
Primary practice location
872 E Franklin St Ste a
Centerville, OH 45459-5610
Mailing address
872A E. Franklin St.
Centerville, OH 45459-5610
Phone (937) 435-0423
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
| License | State | Type | Specialty |
|---|---|---|---|
| A01746 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1356656573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872A E. FRANKLIN ST.",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454595610",
"telephone_number": "937-435-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 E FRANKLIN ST STE A",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454595610",
"telephone_number": "937-435-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "CECELIA",
"middle_name": "SHIREEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.