Active NPI
Donelle Ehritt, M.A
- Audiologist
- Scotts Valley, CA
National Provider Identifier
1700823630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU46
- Practice address
- 5321 Scotts Valley Dr
Suite 100
Scotts Valley, CA 95066-3524 - Phone
- (831) 431-6216
- Fax
- (831) 431-6216
- NPI assigned
- May 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU46 | CA | Primary |
| Hearing Instrument Specialist | 237700000X | HA1110 | CA |
Addresses
Primary practice location
5321 Scotts Valley Dr
Suite 100
Scotts Valley, CA 95066-3524
Mailing address
5321 Scotts Valley Dr
Suite 100
Scotts Valley, CA 95066-3524
Phone (831) 431-6216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0000460 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041027000517 | CA | Practitioner - Qualified Audiologist | 2567424112 | Practice locations: Scotts Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5274 Scotts Valley Dr
Suite 107
Scotts Valley, CA 95066-3538
Phone (831) 431-6216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46 | CA | MD | Massage Therapist |
| AU46 | CA | MD | Audiologist |
| HA1110 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1700823630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 SCOTTS VALLEY DR",
"address_2": "SUITE 100",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950663524",
"telephone_number": "831-431-6216",
"fax_number": "831-431-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 SCOTTS VALLEY DR",
"address_2": "SUITE 100",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950663524",
"telephone_number": "831-431-6216",
"fax_number": "831-431-6216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRITT",
"first_name": "DONELLE",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU46",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA1110",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0000460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.