Active NPI
Tess M Fickas, M.A.
- Assistive Technology Practitioner Audiologist
- Escondido, CA
National Provider Identifier
1770613853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- AU 2154
- Practice address
- 326 W 3Rd Ave
Escondido, CA 92025-4111 - Phone
- (760) 751-0502
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | AU 2154 | CA | Primary |
Addresses
Primary practice location
326 W 3Rd Ave
Escondido, CA 92025-4111
Mailing address
13952 Oakwood Glen PL
Valley Center, CA 92082-5814
Phone (760) 751-0502
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2154 | CA | MD | Assistive Technology Practitioner Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1770613853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13952 OAKWOOD GLEN PL",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920825814",
"telephone_number": "760-751-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W 3RD AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254111",
"telephone_number": "760-751-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKAS",
"first_name": "TESS",
"middle_name": "M",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "CA",
"license": "AU 2154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.