Individual provider Active NPI

Donelle Ehritt, M.A

  • Audiologist
  • Scotts Valley, CA
National Provider Identifier
1700823630
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU46 Issued in CA
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

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AU0000460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
46CAMDMassage Therapist
AU46CAMDAudiologist
HA1110CAMDHearing 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.

Verify at the official NPI Registry.