Individual provider Active NPI

Maureen Connon

  • Hearing Instrument Specialist
  • Roswell, GA
National Provider Identifier
1871209502
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADS001121 Issued in GA
Practice address
875 Mansell Rd Ste B2
Roswell, GA 30076-4800
Phone
(678) 461-6366
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X
Student in an Organized Health Care Education/Training Program 390200000X HAP000399 GA
Hearing Instrument Specialist 237700000X HADS001121 GA Primary

Addresses

Primary practice location

875 Mansell Rd Ste B2
Roswell, GA 30076-4800

Mailing address

875 Mansell Rd Ste B2
Roswell, GA 30076-4800
Phone (678) 461-6366

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

State licenses

LicenseStateTypeSpecialty
HADS001121GAMDHearing Instrument Specialist
HAP000399GAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1871209502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MANSELL RD STE B2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764800",
            "telephone_number": "678-461-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MANSELL RD STE B2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764800",
            "telephone_number": "678-461-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNON",
        "first_name": "MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "HAP000399",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS001121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.