Individual provider Active NPI

Michelle Tewell, AUD

  • Audiologist
  • Camp Hill, PA
National Provider Identifier
1528511623
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006474 Issued in PA
Practice address
875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203
Phone
(717) 763-7400
Fax
(717) 763-4177
NPI assigned
Jul 26, 2016
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006474 PA Primary

Addresses

Primary practice location

875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203

Mailing address

875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203
Phone (717) 763-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913000459 PA Practitioner - Qualified Audiologist 5991091241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006474PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Nulph Hearing Associates, PC Audiologist CurrentSince Dec 4, 2017 Accepting new patients

Locations

5020 Ritter Rd
Ste 106
Mechanicsburg, PA 17055
Phone (717) 766-1500

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1528511623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 POPLAR CHURCH RD",
            "address_2": "SUITE 320",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112203",
            "telephone_number": "717-763-7400",
            "fax_number": "717-763-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 POPLAR CHURCH RD",
            "address_2": "SUITE 320",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112203",
            "telephone_number": "717-763-7400",
            "fax_number": "717-763-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWELL",
        "first_name": "MICHELLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.