Active NPI
Mallory A Robb, AU.D.
- Audiologist-Hearing Aid Fitter
- Roseburg, OR
National Provider Identifier
1831458769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Practice address
- 1367 W Harvard Ave
Roseburg, OR 97471-2838 - Phone
- (541) 672-8868
- NPI assigned
- May 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
1367 W Harvard Ave
Roseburg, OR 97471-2838
Mailing address
161 NE Rifle Range St Apt 57
Roseburg, OR 97470-5916
Phone (765) 810-7099
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336780800000",
"number": "1831458769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 NE RIFLE RANGE ST APT 57",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974705916",
"telephone_number": "765-810-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1367 W HARVARD AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712838",
"telephone_number": "541-672-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBB",
"first_name": "MALLORY",
"middle_name": "A",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-12",
"last_updated": "2012-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.