Organization Active NPI

Fynes Audiology LLC

  • Audiologist-Hearing Aid Fitter
  • Mesa, AZ
National Provider Identifier
1649402058
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA1798 Issued in AZ
Legal business name
FYNES AUDIOLOGY LLC
Practice address
2058 S Dobson Rd
Suite 10
Mesa, AZ 85202-6454
Phone
(480) 456-0176
Fax
(480) 302-4165
NPI assigned
Aug 18, 2009
Last updated
Aug 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. Cassandra Marion Fynes, AUD CCC-ANPI 1154360048
Title
Doctor of Audiology/ Owner
Phone
(480) 456-0176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA1798 AZ Primary

Addresses

Primary practice location

2058 S Dobson Rd
Suite 10
Mesa, AZ 85202-6454

Mailing address

2058 S Dobson Rd
Suite 10
Mesa, AZ 85202-6454
Phone (480) 456-0176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000501 AZ Part B Supplier - Clinic/Group Practice 0749173318 Receives reassigned benefits from 2 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

2058 S Dobson Rd
Ste 10
Mesa, AZ 85202
Phone (480) 456-0176

2058 S Dobson Rd
Ste 9
Mesa, AZ 85202
Phone (480) 456-0176

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1649402058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD",
            "address_2": "SUITE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026454",
            "telephone_number": "480-456-0176",
            "fax_number": "480-302-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD",
            "address_2": "SUITE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026454",
            "telephone_number": "480-456-0176",
            "fax_number": "480-302-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYNES AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "FYNES",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY/ OWNER",
        "authorized_official_telephone_number": "480-456-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA1798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.