Active NPI
Alexis Noel Staudenmeier, AUD
- Audiologist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006711
- Practice address
- 205 N Broad St Ste 401
Philadelphia, PA 19107-1553 - Phone
- (215) 762-4600
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006711 | PA | Primary |
Addresses
Primary practice location
205 N Broad St Ste 401
Philadelphia, PA 19107-1553
Mailing address
171 Grape St Apt 202
Philadelphia, PA 19127-1455
Phone (240) 446-4337
Other practice location 1
8350 Roosevelt Blvd Ste 1
Philadelphia, PA 19152-2531
Phone (215) 331-6878
Other practice location 2
5501 Old York Rd Fl Paley2
Philadelphia, PA 19141-3018
Phone (215) 456-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N Broad St
Suite 401
Philadelphia, PA 19107-1553
Phone (215) 762-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fornance Physician Services, Inc. | Current | Accepting new patients | |
| University Otolaryngology Associates PC | Current | Accepting new patients | |
| Fornance Physician Services, Inc. | Current | Accepting new patients | |
| Fornance Physician Services, Inc | Current | Accepting new patients |
Locations
210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726
8350 Roosevelt Blvd
Ste 1
Philadelphia, PA 19152
Phone (215) 331-6878
205 N Broad St
Ste 401
Philadelphia, PA 19107
Phone (215) 569-3155
5501 Old York Rd
Ste 2
Philadelphia, PA 19141
Phone (215) 456-7130
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Philadelphia, PA
- NPI 1457315715
-
dba Family OB/GYN Center
- Obstetrics & Gynecology Physician
- Norristown, PA
- NPI 1053363523
-
- Neurological Surgery Physician
- Plymouth Meeting, PA
- NPI 1699459388
-
dba King of Prussia Family Medicine
- Family Medicine Physician
- King of Prussia, PA
- NPI 1831146919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1548870793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 GRAPE ST APT 202",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191271455",
"telephone_number": "240-446-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BROAD ST STE 401",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071553",
"telephone_number": "215-762-4600"
}
],
"practiceLocations": [
{
"address_1": "8350 Roosevelt Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191522531",
"country_code": "US",
"telephone_number": "215-331-6878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Old York Rd Fl Paley2",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-7140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAUDENMEIER",
"first_name": "ALEXIS",
"middle_name": "NOEL",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.