Active NPI
Hannah Elizabeth Fehlberg, AUD
- Audiologist
- San Jose, CA
National Provider Identifier
1821348509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- G48506
- Practice address
- 2577 Samaritan Dr Ste 845
San Jose, CA 95124-4110 - Phone
- (408) 358-8507
- NPI assigned
- Sep 11, 2012
- 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 | G48506 | CA | Primary |
Addresses
Primary practice location
2577 Samaritan Dr Ste 845
San Jose, CA 95124-4110
Mailing address
PO Box 742244
Los Angeles, CA 90074-2244
Phone (408) 358-8507
Other practice location 1
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-6512
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 |
|---|---|---|---|
| 8899 | MN | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1821348509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742244",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900742244",
"telephone_number": "408-358-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DR STE 845",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244110",
"telephone_number": "408-358-8507"
}
],
"practiceLocations": [
{
"address_1": "2450 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-273-6512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEHLBERG",
"first_name": "HANNAH",
"middle_name": "ELIZABETH",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "G48506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.