Individual provider Active NPI

Erica Michelle Bodie, AUD

  • Audiologist
  • Gilbert, AZ
National Provider Identifier
1679702864
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA6250 Issued in AZ
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
DA6250AZMDAudiologist-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.

Verify at the official NPI Registry.