Active NPI
Erica Michelle Bodie, AUD
- Audiologist
- Gilbert, AZ
National Provider Identifier
1679702864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA6250
- Practice address
- 3285 S. Val Vista Dr
VA Medical Center
Gilbert, AZ 85297 - Phone
- (480) 397-2898
- Fax
- (602) 263-1631
- NPI assigned
- Jul 8, 2009
- Last updated
- Apr 10, 2015
- 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 | DA6250 | AZ | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | DA6250 | AZ |
Addresses
Primary practice location
3285 S. Val Vista Dr
VA Medical Center
Gilbert, AZ 85297
Mailing address
3285 S. Val Vista Dr
VA Medical Center
Gilbert, AZ 85297
Phone (480) 397-2800
Other names 1
- Ms. Erica Michelle Simmons
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA6250 | AZ | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1679702864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 S. VAL VISTA DR",
"address_2": "VA MEDICAL CENTER",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85297",
"telephone_number": "480-397-2800",
"fax_number": "602-263-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 S. VAL VISTA DR",
"address_2": "VA MEDICAL CENTER",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85297",
"telephone_number": "480-397-2898",
"fax_number": "602-263-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODIE",
"first_name": "ERICA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA6250",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA6250",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "SIMMONS",
"middle_name": "MICHELLE",
"prefix": "MS.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.