NPIMap

Organization Active NPI

On-Site Audiology

  • Hearing Instrument Specialist
  • Fishers, IN
National Provider Identifier
1801059662
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17001256A Issued in IN
Legal business name
ON-SITE AUDIOLOGY
Practice address
14074 Trade Center Dr
Suite 115
Fishers, IN 46038-4563
Phone
(317) 443-0043
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Terah Lynn Wagner, HAD
Title
Owner/Founder
Phone
(317) 443-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 17001256A IN Primary

Addresses

Primary practice location

14074 Trade Center Dr
Suite 115
Fishers, IN 46038-4563

Mailing address

14074 Trade Center Dr
Suite 115
Fishers, IN 46038-4563
Phone (317) 443-0043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1801059662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 115",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-443-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 115",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-443-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "TERAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "317-443-0043",
        "authorized_official_credential": "HAD"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001256A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.