Active NPI
Michele Beth Simon, AUD, FAAA
- Audiologist-Hearing Aid Fitter
- Olean, NY
National Provider Identifier
1376571356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 000761-1
- Practice address
- 130 S Union St
Suite 1
Olean, NY 14760-3676 - Phone
- (716) 379-8356
- Fax
- (716) 379-8361
- NPI assigned
- Jun 29, 2006
- 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-Hearing Aid Fitter | 237600000X | 000761-1 | NY | Primary |
Addresses
Primary practice location
130 S Union St
Suite 1
Olean, NY 14760-3676
Mailing address
130 S Union St
Suite 1
Olean, NY 14760-3676
Phone (716) 379-8356
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040426004078 | Other | FIDELIS | |
| 161516529 | Other | RAILROAD MEDICARE | |
| 9209988 | Other | INDEPENDENT HEALTH | |
| 0005760395 | Other | NY | COMMUNITY BLUE/ BCBS |
| 225284 | Other | PA | BLUE CROSS BLUE SHIELD |
| 00020283801 | Other | UNIVERA | |
| 01616600 | Medicaid | NY |
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 |
|---|---|---|---|
| 000761-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health PA, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Alpaca Hearing - New York Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 2
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
- East Syracuse, NY
- NPI 1821633009
Audiologist-Hearing Aid Fitter
-
- Hearing Aid Equipment
- Paoli, PA
- NPI 1376962811
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1376571356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S UNION ST",
"address_2": "SUITE 1",
"city": "OLEAN",
"state": "NY",
"postal_code": "147603676",
"telephone_number": "716-379-8356",
"fax_number": "716-379-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S UNION ST",
"address_2": "SUITE 1",
"city": "OLEAN",
"state": "NY",
"postal_code": "147603676",
"telephone_number": "716-379-8356",
"fax_number": "716-379-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "MICHELE",
"middle_name": "BETH",
"credential": "AUD, FAAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "000761-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426004078",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "161516529",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9209988",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE/ BCBS",
"identifier": "0005760395",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "225284",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020283801",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01616600",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.