Individual provider Active NPI

Stephanie Lynn Hollop, AU.D.

  • Audiologist
  • Burlington, VT
National Provider Identifier
1669916425
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
145.0124534 Issued in VT
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

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00314998MedicaidNY

Other names 1

  • Stephanie Lynn Fischer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709002302 VT Practitioner - Qualified Audiologist 1456607209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002704NYMDAudiologist
145.0124534VTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont and State Agricultural College Audiologist CurrentSince Jun 1, 2018 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.

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.

Verify at the official NPI Registry.