Active NPI
Roberta Phillip, HIS
- Hearing Instrument Specialist
- Lavale, MD
National Provider Identifier
1609224237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 02529
- Practice address
- 700 National Hwy
Lavale, MD 21502-7335 - Phone
- (301) 729-2248
- Fax
- (877) 402-2669
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 02529 | MD | Primary |
Addresses
Primary practice location
700 National Hwy
Lavale, MD 21502-7335
Mailing address
700 National Hwy
Lavale, MD 21502-7335
Phone (301) 729-2248
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02529 | MD | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1609224237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027335",
"telephone_number": "301-729-2248",
"fax_number": "877-402-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027335",
"telephone_number": "301-729-2248",
"fax_number": "877-402-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIP",
"first_name": "ROBERTA",
"credential": "HIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MD",
"license": "02529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lavale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.