Individual provider Active NPI

Brittany Spahr Fischtziur

  • Audiologist
  • Diamondhead, MS
National Provider Identifier
1467894436
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A4207 Issued in MS
Practice address
5402 W Aloha Dr
Diamondhead, MS 39525-3329
Phone
(228) 255-8889
Fax
(228) 255-0890
NPI assigned
Jul 19, 2013
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1115A AL
Audiologist 231H00000X A4207 MS Primary

Addresses

Primary practice location

5402 W Aloha Dr
Diamondhead, MS 39525-3329

Mailing address

5439 W Aloha Dr
Suite B
Diamondhead, MS 39525-3379
Phone (228) 255-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902000070 MS Practitioner - Qualified Audiologist 3971746629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1115AALMDAudiologist
A4207MSMDAudiologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1467894436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 W ALOHA DR",
            "address_2": "SUITE B",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253379",
            "telephone_number": "228-255-8889",
            "fax_number": "228-255-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 W ALOHA DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253329",
            "telephone_number": "228-255-8889",
            "fax_number": "228-255-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHTZIUR",
        "first_name": "BRITTANY",
        "middle_name": "SPAHR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1115A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondhead, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.