Active NPI
Deborah Lynne Short Siemer, M.A.
- Audiologist
- Cortland, NY
National Provider Identifier
1467697334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1318-1
- Practice address
- 277 Tompkins St Ste C
Cortland, NY 13045-3453 - Phone
- (607) 756-1053
- NPI assigned
- Dec 8, 2008
- 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 | 1318-1 | NY | Primary |
Addresses
Primary practice location
277 Tompkins St Ste C
Cortland, NY 13045-3453
Mailing address
277 Tompkins St Ste C
Cortland, NY 13045-3453
Phone (607) 756-1053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13517947 | Other | CAQH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1318-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timeless Hearing LLC | Past | Accepting new patients | |
| Southern Tier Audiology Associates PC | Audiologist | 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.
-
- Audiologist-Hearing Aid Fitter
- Elmira, NY
- NPI 1386603843
-
- Audiologist-Hearing Aid Fitter
- Cortland, NY
- NPI 1558055731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1467697334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 TOMPKINS ST STE C",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130453453",
"telephone_number": "607-756-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 TOMPKINS ST STE C",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130453453",
"telephone_number": "607-756-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT SIEMER",
"first_name": "DEBORAH",
"middle_name": "LYNNE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "1318-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13517947",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.