Active NPI
Ellen S Skidmore Hontiveros, AU.D.
- Audiologist
- Slidell, LA
National Provider Identifier
1740856749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8811
- Practice address
- 3026 Gause Blvd E
Slidell, LA 70461-4155 - Phone
- (985) 649-9131
- NPI assigned
- Jun 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 8811 | LA | Primary |
Addresses
Primary practice location
3026 Gause Blvd E
Slidell, LA 70461-4155
Mailing address
71073 Lake Placid Dr
Covington, LA 70433-6966
Phone (317) 903-6964
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 |
|---|---|---|---|
| 8811 | LA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba All American Hearing
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1740856749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71073 LAKE PLACID DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336966",
"telephone_number": "317-903-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614155",
"telephone_number": "985-649-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDMORE HONTIVEROS",
"first_name": "ELLEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "LA",
"license": "8811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.