Organization Active NPI

Wake Audiology & Hearing Aid Associates, PLLC

  • Audiologist
  • Wake Forest, NC
National Provider Identifier
1831286384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4617 Issued in NC
Legal business name
WAKE AUDIOLOGY & HEARING AID ASSOCIATES, PLLC
Practice address
1954 S Main St
Wake Forest, NC 27587-9336
Phone
(919) 570-8311
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Catherine T Marquis, AUD
Title
Audiologist /Owner
Phone
(919) 570-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 4617 NC Primary

Addresses

Primary practice location

1954 S Main St
Wake Forest, NC 27587-9336

Mailing address

1954 S Main St
Wake Forest, NC 27587-9336
Phone (919) 570-8311

Other identifiers 1

IdentifierTypeStateIssuer
7412309MedicaidNC

National Provider Directory

National Provider Directory

Locations

1954 S Main St
Wake Forest, NC 27587
Phone (910) 570-8311

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831286384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879336",
            "telephone_number": "919-570-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879336",
            "telephone_number": "919-570-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE AUDIOLOGY & HEARING AID ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUDIOLOGIST /OWNER",
        "authorized_official_telephone_number": "919-570-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NC",
            "license": "4617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.