Individual provider Active NPI

Myrita Yvonne Wilhite, AU.D.

  • Audiologist
  • Cleveland, OH
National Provider Identifier
1609272608
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00654 Issued in OH
Practice address
2121 Euclid Ave
MC 430
Cleveland, OH 44115-2214
Phone
(216) 687-3808
Fax
(216) 687-6993
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 A00654 OH Primary

Addresses

Primary practice location

2121 Euclid Ave
MC 430
Cleveland, OH 44115-2214

Mailing address

2121 Euclid Ave
MC 430
Cleveland, OH 44115-2214
Phone (216) 687-3808

Other identifiers 2

IdentifierTypeStateIssuer
0408286MedicaidOH
366525OtherOHMEDICARE PTAN

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

LicenseStateTypeSpecialty
A00654OHMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1609272608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EUCLID AVE",
            "address_2": "MC 430",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152214",
            "telephone_number": "216-687-3808",
            "fax_number": "216-687-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EUCLID AVE",
            "address_2": "MC 430",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152214",
            "telephone_number": "216-687-3808",
            "fax_number": "216-687-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "MYRITA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408286",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "366525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.