Active NPI
Mildred Harolyn Threadgill, AU.D.
- Audiologist
- Birmingham, AL
National Provider Identifier
1689406191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1389A
- Practice address
- 833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613 - Phone
- (205) 212-3546
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 1389A | AL | Primary |
Addresses
Primary practice location
833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Mailing address
833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Phone (205) 212-3546
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1389A | AL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1689406191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR STE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051613",
"telephone_number": "205-212-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR STE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051613",
"telephone_number": "205-212-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THREADGILL",
"first_name": "MILDRED",
"middle_name": "HAROLYN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "1389A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.