Silvia Alejandra Wust, AU.D. , CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AUD003894 Issued in GA

Practice address

11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200

Phone

(877) 828-1688

Fax

(678) 284-2770

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1821079419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 PORTSMOUTH LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415814",
            "telephone_number": "678-341-9958",
            "fax_number": "678-284-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 MEDLOCK BRIDGE RD STE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973200",
            "telephone_number": "877-828-1688",
            "fax_number": "678-284-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUST",
        "first_name": "SILVIA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Mrs.",
        "credential": "AU.D. , CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003894",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Audiologist-Hearing Aid Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.