Samantha Iezzi, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT006685 Issued in PA

Practice address

810 Plaza Blvd
Lancaster, PA 17601-2762

Phone

(717) 394-5088

Fax

(717) 394-5590

NPI assigned

Jun 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1851915698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 N 25TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196061412",
            "telephone_number": "610-780-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PLAZA BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012762",
            "telephone_number": "717-394-5088",
            "fax_number": "717-394-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IEZZI",
        "first_name": "SAMANTHA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.