Individual provider Active NPI

Pamela L Fleming, AU.D.

  • Audiologist
  • Niagara Falls, NY
National Provider Identifier
1497906804
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002176-1 Issued in NY
Practice address
1629 Military Rd
Niagara Falls, NY 14304-1745
Phone
(716) 297-4444
Fax
(716) 297-4111
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002176-1 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000025524 NY

Addresses

Primary practice location

1629 Military Rd
Niagara Falls, NY 14304-1745

Mailing address

1629 Military Rd
Niagara Falls, NY 14304-1745
Phone (716) 297-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000092 NY Practitioner - Qualified Audiologist 5698837888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002176-1NYMDOccupational Therapy Assistant
002176NYMDSpeech-Language Pathologist
14000025524NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Services for Occupational Therapy, Physical Therapy, Speec CurrentSince Dec 3, 2025 Accepting new patients
Diversified Services for Occupational Therapy, Physical Ther Audiologist CurrentSince Dec 3, 2025 Accepting new patients

Locations

1780 Wehrle Dr
Ste 150
Buffalo, NY 14221

2900 Delaware Ave
Kenmore, NY 14217
Phone (716) 262-9791

3670 S Benzing Rd
Ste G
Orchard Park, NY 14127

17 Limestone Dr
Ste 5
Williamsville, NY 14221
Phone (716) 362-1552

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1497906804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041745",
            "telephone_number": "716-297-4444",
            "fax_number": "716-297-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041745",
            "telephone_number": "716-297-4444",
            "fax_number": "716-297-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002176-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000025524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.