Active NPI
Denise Alexandra Roberts, M.S., CCC/A
- Audiologist
- Willoughby, OH
National Provider Identifier
1366461105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01314
- Practice address
- 34302 Euclid Ave
Unit #4
Willoughby, OH 44094-3334 - Phone
- (440) 942-3480
- Fax
- (440) 942-3451
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Ashtabula, OH
- NPI 1447440102
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Audiologist-Hearing Aid Fitter
- Ashtabula, OH
- NPI 1720030869
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01314 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Hearing Centers, Inc. | Past | Accepting new patients | |
| Audiology Distribution, LLC | Past | Accepting new patients | |
| Better Hearing Centers, Inc. | Past | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01314 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
34302 Euclid Ave
Unit #4
Willoughby, OH 44094-3334
Mailing address
2136 16TH St
Cuyahoga Falls, OH 44223-1932
Phone (330) 929-6621
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| A01314 | Other | OH | LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366461105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 16TH ST",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231932",
"telephone_number": "330-929-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34302 EUCLID AVE",
"address_2": "UNIT #4",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440943334",
"telephone_number": "440-942-3480",
"fax_number": "440-942-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "DENISE",
"middle_name": "ALEXANDRA",
"name_prefix": "Mrs.",
"credential": "M.S., CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A01314",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.