Individual provider Active NPI

Elizabeth Stickney, AUD

  • Audiologist
  • Carmel, IN
National Provider Identifier
1881174605
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002660A Issued in IN
Practice address
12188A N Meridian St Ste 375
Carmel, IN 46032-4433
Phone
(317) 926-1056
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002660A IN Primary

Addresses

Primary practice location

12188A N Meridian St Ste 375
Carmel, IN 46032-4433

Mailing address

12188A N Meridian St Ste 375
Carmel, IN 46032-4433
Phone (317) 926-1056

Other practice location 1

1115 Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911
Phone (317) 926-1056 ext. 148

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

LicenseStateTypeSpecialty
23002660AINMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1881174605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324433",
            "telephone_number": "317-926-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324433",
            "telephone_number": "317-926-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Ronald Reagan Pkwy Ste 254",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236911",
            "country_code": "US",
            "telephone_number": "317-926-1056 x148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKNEY",
        "first_name": "ELIZABETH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.