Individual provider Active NPI

Sharon R Ehrenberg, AUD

  • Audiologist-Hearing Aid Fitter
  • Gastonia, NC
National Provider Identifier
1760797013
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
SE6830 Issued in VA
Practice address
162 S South St
Suite 102
Gastonia, NC 28052-4125
Phone
(704) 865-6628
Fax
(704) 865-6638
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X SE6830 VA Primary

Addresses

Primary practice location

162 S South St
Suite 102
Gastonia, NC 28052-4125

Mailing address

2800 W Higgins Rd
Suite 120
Hoffman Estates, IL 60169-2071
Phone (847) 843-1900

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

LicenseStateTypeSpecialty
SE6830VAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1760797013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W HIGGINS RD",
            "address_2": "SUITE 120",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692071",
            "telephone_number": "847-843-1900",
            "fax_number": "847-843-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S SOUTH ST",
            "address_2": "SUITE 102",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524125",
            "telephone_number": "704-865-6628",
            "fax_number": "704-865-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENBERG",
        "first_name": "SHARON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "SE6830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.