Individual provider Active NPI

Maria Taffoni Hetlinger, AU. D.

  • Audiologist
  • Columbia, SC
National Provider Identifier
1811323041
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00063200 Issued in NJ
Practice address
200 Arbor Lake Dr Ste 120
Columbia, SC 29223-4516
Phone
(803) 457-8120
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00063200 NJ Primary
Audiologist 231H00000X 25MG00098800 NJ
Audiologist 231H00000X AT005811 PA

Addresses

Primary practice location

200 Arbor Lake Dr Ste 120
Columbia, SC 29223-4516

Mailing address

351 Tavistock Dr
Medford, NJ 08055-9259
Phone (609) 346-5391

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

State licenses

LicenseStateTypeSpecialty
25MG00098800NJMDAudiologist
41YA00063200NJMDAudiologist
AT005811PAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1811323041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 TAVISTOCK DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559259",
            "telephone_number": "609-346-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARBOR LAKE DR STE 120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234516",
            "telephone_number": "803-457-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETLINGER",
        "first_name": "MARIA",
        "middle_name": "TAFFONI",
        "credential": "AU. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00063200",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "25MG00098800",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.