Individual provider Active NPI

Susan M Meissner, AUD

  • Audiologist
  • Hartford, CT
National Provider Identifier
1770579575
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000254 Issued in CT
Practice address
85 Seymour St
Suite 318
Hartford, CT 06106-5501
Phone
(860) 493-1950
Fax
(860) 493-1961
NPI assigned
Sep 27, 2005
Last updated
Aug 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000254 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 318
Hartford, CT 06106-5501

Mailing address

PO Box 586
Windsor, CT 06095-0586
Phone (860) 493-1950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000471 CT Practitioner - Qualified Audiologist 2264593433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Institute of Connecticut PLLCGroup PAC ID 4284078296, 25 clinicians

Practice addresses (Care Compare)

599 Farmington Ave
Suite 102
Farmington, CT 06032-2383
Phone (860) 284-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254CTMDBehavioral Analyst
000254CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Institute of Connecticut PLLC CurrentSince Dec 21, 2023 Accepting new patients
Prohealth Physicians PC CurrentSince Jun 9, 2014 Accepting new patients
Connecticut Ear, Nose & Throat Associates, P.C. PastSince Jun 15, 2015 Accepting new patients

Locations

4 Northwestern Dr
Ste 100
Bloomfield, CT 06002
Phone (860) 243-3344

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

599 Farmington Ave
Ste 102
Farmington, CT 06032
Phone (860) 284-4950

622 Hebron Ave
Ste 201
Glastonbury, CT 06033

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: susan.meissner.npi1770579575.phpct@direct.optumcare.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1770579575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060950586",
            "telephone_number": "860-493-1950",
            "fax_number": "860-493-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 318",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-493-1950",
            "fax_number": "860-493-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISSNER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.