Active NPI
Anita M Solomon, MS, CCC-A, F-AAA
- Audiologist
- Worcester, MA
National Provider Identifier
1780758805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 762
- Practice address
- 295 Lincoln St
Suite 105
Worcester, MA 01605-3639 - Phone
- (508) 755-1391
- Fax
- (508) 363-4019
- NPI assigned
- Nov 20, 2006
- 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 | 762 | MA | Primary |
Addresses
Primary practice location
295 Lincoln St
Suite 105
Worcester, MA 01605-3639
Mailing address
295 Lincoln St
Ste 105
Worcester, MA 01605
Phone (508) 755-1391
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26550 | Other | FALLON | |
| 5104033 | Other | MASS HEALTH | |
| AD0187 | Other | AETNA | |
| SO 039764 | Other | MA | MEDICARE ID |
| AD0187 | Other | BCBS | |
| 5104033 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Affiliates of Hear Better, Inc | Audiologist | 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.
-
- Audiologist
- Worcester, MA
- NPI 1548316011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1780758805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 LINCOLN ST",
"address_2": "STE 105",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-755-1391",
"fax_number": "508-363-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 LINCOLN ST",
"address_2": "SUITE 105",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053639",
"telephone_number": "508-755-1391",
"fax_number": "508-363-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "ANITA",
"middle_name": "M",
"credential": "MS, CCC-A, F-AAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "26550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "5104033",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "AD0187",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "SO 039764",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AD0187",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5104033",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.