Individual provider Active NPI

Ellen Sloan, M.S.,CCC-A

  • Audiologist
  • Boynton Beach, FL
National Provider Identifier
1376566406
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY685 Issued in FL
Practice address
1325 S Congress Ave
Ste.107
Boynton Beach, FL 33426-5876
Phone
(561) 742-7559
Fax
(561) 742-7957
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY685 FL Primary

Addresses

Primary practice location

1325 S Congress Ave
Ste.107
Boynton Beach, FL 33426-5876

Mailing address

1325 S Congress Ave
Ste.107
Boynton Beach, FL 33426-5876
Phone (561) 742-7559

Other identifiers 1

IdentifierTypeStateIssuer
S1507OtherFLBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
AY685FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1376566406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "STE.107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-742-7559",
            "fax_number": "561-742-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "STE.107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-742-7559",
            "fax_number": "561-742-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S1507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.