Active NPI
Mary A Chatelain, AU.D.
- Audiologist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A #307
- Practice address
- 10700 N. Rodney Parham Rd
Ste A7
Little Rock, AR 72212 - Phone
- (501) 225-6060
- Fax
- (501) 225-6450
- NPI assigned
- Nov 16, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A #307 | AR | Primary |
Addresses
Primary practice location
10700 N. Rodney Parham Rd
Ste A7
Little Rock, AR 72212
Mailing address
10700 N. Rodney Parham Rd
Ste A7
Little Rock, AR 72212
Phone (501) 225-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A #307 | Other | AR | AU.D. LICENSE |
Other names 1
- Mary De Loach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10700 N Rodney Parham Rd
A7
Little Rock, AR 72212-4159
Phone (501) 225-6060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A #307 | AR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Hearing LLC | Current | Accepting new patients | |
| Pinnacle Hearing LLC | Audiologist | Current | Accepting new patients |
Locations
675 California Ave SW
Camden, AR 71701
Phone (870) 836-6055
10700 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 225-4648
10700 N Rodney Parham Rd
Ste A7
Little Rock, AR 72212
Phone (501) 225-6060
Organizations & group practices 2
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.
-
- Specialist
- Little Rock, AR
- NPI 1164966362
-
- Audiologist
- Camden, AR
- NPI 1154001667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1770764805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 N. RODNEY PARHAM RD",
"address_2": "STE A7",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72212",
"telephone_number": "501-225-6060",
"fax_number": "501-225-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 N. RODNEY PARHAM RD",
"address_2": "STE A7",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72212",
"telephone_number": "501-225-6060",
"fax_number": "501-225-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATELAIN",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "A #307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AU.D. LICENSE",
"identifier": "A #307",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DE LOACH",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.