Individual provider Active NPI

Cynthia Juanita Weber, M.A., CCC-A

  • Audiologist
  • Anchorage, AK
National Provider Identifier
1508927468
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
70 Issued in AK
Practice address
2401 E 42ND Ave
Suite 101
Anchorage, AK 99508-5228
Phone
(907) 538-3655
Fax
(907) 929-7327
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 70 AK Primary

Addresses

Primary practice location

2401 E 42ND Ave
Suite 101
Anchorage, AK 99508-5228

Mailing address

1741 Lore Rd
# 3
Anchorage, AK 99507-2911
Phone (907) 538-3655

Other identifiers 3

IdentifierTypeStateIssuer
3957OtherNMNM STATE AUDIOLOGY LICENS
70OtherAKSTATE AUDIOLOGY LICENSE
12409715MedicaidNM

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

LicenseStateTypeSpecialty
70AKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Health Center PastSince Sep 4, 2011 Accepting new patients
Tanana Chiefs Conference 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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1508927468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 LORE RD",
            "address_2": "# 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072911",
            "telephone_number": "907-538-3655",
            "fax_number": "907-929-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-538-3655",
            "fax_number": "907-929-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CYNTHIA",
        "middle_name": "JUANITA",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "70",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE AUDIOLOGY LICENS",
            "identifier": "3957",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AUDIOLOGY LICENSE",
            "identifier": "70",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12409715",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.