Active NPI
Stephanie Lynn Hollop, AU.D.
- Audiologist
- Burlington, VT
National Provider Identifier
1669916425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 145.0124534
- Practice address
- 489 Main St
Burlington, VT 05405 - Phone
- (802) 656-3861
- Fax
- (802) 656-2528
- NPI assigned
- Dec 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002704 | NY | |
| Audiologist | 231H00000X | 145.0124534 | VT | Primary |
Addresses
Primary practice location
489 Main St
Burlington, VT 05405
Mailing address
489 Main St
Burlington, VT 05405-1709
Phone (802) 656-3861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00314998 | Medicaid | NY |
Other names 1
- Stephanie Lynn Fischer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180709002302 | VT | Practitioner - Qualified Audiologist | 1456607209 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002704 | NY | MD | Audiologist |
| 145.0124534 | VT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont and State Agricultural College | Audiologist | Current | Accepting new patients |
| University of Vermont and State Agricultural College | Current | Accepting new patients |
Locations
489 Main St
Burlington, VT 05405
Phone (802) 656-3861
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Burlington, VT
- NPI 1932247434
VT
-
- Audiologist
- Burlington, VT
- NPI 1578604310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1669916425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 MAIN ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054051709",
"telephone_number": "802-656-3861",
"fax_number": "802-656-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 MAIN ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05405",
"telephone_number": "802-656-3861",
"fax_number": "802-656-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOP",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002704",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VT",
"license": "145.0124534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00314998",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "FISCHER",
"middle_name": "LYNN",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.