Active NPI
Paulene Hartley, MS,CCC-A
- Audiologist
- St George, UT
National Provider Identifier
1679500169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1889364101
- Practice address
- 1067 E Tabernacle St
Suite 7
St George, UT 84770-3163 - Phone
- (435) 634-7608
- NPI assigned
- Jun 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1889364101 | UT | Primary |
Addresses
Primary practice location
1067 E Tabernacle St
Suite 7
St George, UT 84770-3163
Mailing address
PO Box 460657
508 E Silvercrest Court
Leeds, UT 84746-0657
Phone (435) 879-0618
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1889364101 | UT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679500169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460657",
"address_2": "508 E SILVERCREST COURT",
"city": "LEEDS",
"state": "UT",
"postal_code": "847460657",
"telephone_number": "435-879-0618",
"fax_number": "435-879-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 E TABERNACLE ST",
"address_2": "SUITE 7",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703163",
"telephone_number": "435-634-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "PAULENE",
"name_prefix": "Mrs.",
"credential": "MS,CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "1889364101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.