Active NPI
Maria Taffoni Hetlinger, AU. D.
- Audiologist
- Columbia, SC
National Provider Identifier
1811323041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00063200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MG00098800 | NJ | MD | Audiologist |
| 41YA00063200 | NJ | MD | Audiologist |
| AT005811 | PA | MD | Audiologist |
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.