Active NPI
Liz Minnette Ramos, AUD
- Audiologist
- Decatur, GA
National Provider Identifier
1417234808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003888
- Practice address
- 484 Irvin CT Ste 140
Decatur, GA 30030-5406 - Phone
- (404) 297-4230
- Fax
- (404) 297-4252
- NPI assigned
- Nov 14, 2011
- Last updated
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 | AUD003888 | GA | Primary |
Addresses
Primary practice location
484 Irvin CT Ste 140
Decatur, GA 30030-5406
Mailing address
5673 Peachtree Dunwoody Rd
Suite 150
Atlanta, GA 30342-1771
Phone (404) 297-1780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003121861I | Medicaid | GA |
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 |
|---|---|---|---|
| AUD003888 | GA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1417234808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5673 PEACHTREE DUNWOODY RD",
"address_2": "SUITE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421771",
"telephone_number": "404-297-1780",
"fax_number": "404-252-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 IRVIN CT STE 140",
"city": "DECATUR",
"state": "GA",
"postal_code": "300305406",
"telephone_number": "404-297-4230",
"fax_number": "404-297-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "LIZ",
"middle_name": "MINNETTE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003121861I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.