Individual provider Active NPI

Janet Louise Flick, MA F AAA

  • Audiologist-Hearing Aid Fitter
  • Kettering, OH
National Provider Identifier
1366505695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A00305 Issued in OH
Practice address
4720 Wilminton Pike
Kettering, OH 45440-2021
Phone
(937) 435-5033
Fax
(937) 435-5512
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A00305 OH Primary

Addresses

Primary practice location

4720 Wilminton Pike
Kettering, OH 45440-2021

Mailing address

4720 Wilminton Pike
Kettering, OH 45440-2021
Phone (937) 435-5033

Other identifiers 3

IdentifierTypeStateIssuer
0494335MedicaidOH
000000206673OtherANTHEM
000000275569OtherANTHEM

Other names 1

  • Mrs. Janet Louise Reitz Former name

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366505695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WILMINTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402021",
            "telephone_number": "937-435-5033",
            "fax_number": "937-435-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 WILMINTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402021",
            "telephone_number": "937-435-5033",
            "fax_number": "937-435-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "JANET",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MA F AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A00305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0494335",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000206673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000275569",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "REITZ",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "MA CCC A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kettering, 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.

Verify at the official NPI Registry.