Active NPI
Susan Elizabeth Holland, M.A.C.C.C./A.
- Audiologist-Hearing Aid Fitter
- Athens, TX
National Provider Identifier
1427243195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 50434
- Practice address
- 1701 S Palestine St Ste B
Athens, TX 75751-8951 - Phone
- (903) 675-2222
- Fax
- (903) 675-1838
- NPI assigned
- Sep 6, 2007
- Last updated
- Sep 6, 2007
- 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 | 50434 | TX | Primary |
Addresses
Primary practice location
1701 S Palestine St Ste B
Athens, TX 75751-8951
Mailing address
1701 S Palestine St Ste B
Athens, TX 75751-8951
Phone (903) 675-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528114 | Other | TX | BLUE 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50434 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1427243195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S PALESTINE ST STE B",
"city": "ATHENS",
"state": "TX",
"postal_code": "757518951",
"telephone_number": "903-675-2222",
"fax_number": "903-675-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S PALESTINE ST STE B",
"city": "ATHENS",
"state": "TX",
"postal_code": "757518951",
"telephone_number": "903-675-2222",
"fax_number": "903-675-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.A.C.C.C./A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "50434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "528114",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.