Individual provider Active NPI

Mary-Teresa Christine James, AUD

  • Audiologist
  • Wyomissing, PA
National Provider Identifier
1508017278
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000628L Issued in PA
Practice address
2101 State Hill Rd
Suite 4
Wyomissing, PA 19610-1993
Phone
(610) 741-0302
Fax
(610) 741-0303
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000628L PA Primary

Addresses

Primary practice location

2101 State Hill Rd
Suite 4
Wyomissing, PA 19610-1993

Mailing address

2101 State Hill Rd
Suite 4
Wyomissing, PA 19610-1993
Phone (610) 741-0302

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
AT000628LPAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1508017278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 STATE HILL RD",
            "address_2": "SUITE 4",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101993",
            "telephone_number": "610-741-0302",
            "fax_number": "610-741-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 STATE HILL RD",
            "address_2": "SUITE 4",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101993",
            "telephone_number": "610-741-0302",
            "fax_number": "610-741-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARY-TERESA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000628L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.