Individual provider Active NPI

Hollis Reed Elmore, AUD

  • Audiologist
  • Sanford, NC
National Provider Identifier
1487214227
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13616 Issued in NC
Practice address
1620 S 3Rd St
Sanford, NC 27330-5662
Phone
(919) 774-3277
Fax
(919) 774-1643
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 13616 NC Primary

Addresses

Primary practice location

1620 S 3Rd St
Sanford, NC 27330-5662

Mailing address

1620 S 3Rd St
Sanford, NC 27330-5662
Phone (919) 774-3277

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

LicenseStateTypeSpecialty
13616NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Idr Med Florida LLC PastSince Apr 19, 2018 Accepting new patients
West Marion Family Practice PA PastSince Sep 15, 2017 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.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1487214227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S 3RD ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305662",
            "telephone_number": "919-774-3277",
            "fax_number": "919-774-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S 3RD ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305662",
            "telephone_number": "919-774-3277",
            "fax_number": "919-774-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "HOLLIS",
        "middle_name": "REED",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "13616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.