Individual provider Active NPI

Erin Macmullen

  • Audiologist
  • Fall River, MA
National Provider Identifier
1629172200
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD729 Issued in MA
Practice address
1822 N Main St Ste 201
Fall River, MA 02720-1350
Phone
(508) 674-3334
Fax
(508) 674-5855
NPI assigned
Sep 12, 2006
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD729 MA Primary
Audiologist-Hearing Aid Fitter 237600000X AUD729 MA

Addresses

Primary practice location

1822 N Main St Ste 201
Fall River, MA 02720-1350

Mailing address

1822 N Main St Ste 201
Fall River, MA 02720-1350
Phone (508) 674-3334

Other identifiers 1

IdentifierTypeStateIssuer
5104343MedicaidMA

Other names 1

  • Erin Durette Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000558 MA Practitioner - Qualified Audiologist 0749267771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Hearing Healthcare IncGroup PAC ID 3779756580, 5 clinicians

Practice addresses (Care Compare)

1822 N Main St
Suite 201
Fall River, MA 02720-1350
Phone (508) 674-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
729MAMDClinical Psychologist
AUD729MAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Hearing Healthcare Inc CurrentSince Sep 1, 2019 Accepting new patients
Hearusa Inc Audiologist-Hearing Aid Fitter Past Accepting new patients
Audiology Distribution, LLC Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearusa Inc Audiologist Past Accepting new patients

Locations

1822 N Main St
Ste 201
Fall River, MA 02720
Phone (508) 674-3334

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, 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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1629172200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST STE 201",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201350",
            "telephone_number": "508-674-3334",
            "fax_number": "508-674-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST STE 201",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201350",
            "telephone_number": "508-674-3334",
            "fax_number": "508-674-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMULLEN",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "AUD729",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MA",
            "license": "AUD729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5104343",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "DURETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.

Verify at the official NPI Registry.