Individual provider Active NPI

Judith Herz Conley, M.A.

  • Audiologist
  • Charlotte, NC
National Provider Identifier
1891882353
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12108 Issued in NC
Practice address
7810 Ballantyne Commons Pkwy Ste 210
Charlotte, NC 28277-3416
Phone
(704) 544-2274
Fax
(704) 542-2285
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2436 CA
Audiologist-Hearing Aid Fitter 237600000X HT8114 CA
Hearing Instrument Specialist 237700000X AU2436 CA
Audiologist 231H00000X 12108 NC Primary

Addresses

Primary practice location

7810 Ballantyne Commons Pkwy Ste 210
Charlotte, NC 28277-3416

Mailing address

7810 Ballantyne Commons Pkwy Ste 210
Charlotte, NC 28277-3416
Phone (704) 544-2274

Other names 1

  • Judy Conley Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AU2436CAMDAudiologist
12108NCMDAudiologist
HT8114CAMDAudiologist-Hearing Aid Fitter
2436CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Hearing Instrument Specialist PastSince Dec 1, 2020 Accepting new patients
Accuquest Hearing Center, LLC Audiologist PastSince Dec 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1891882353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 BALLANTYNE COMMONS PKWY STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773416",
            "telephone_number": "704-544-2274",
            "fax_number": "704-542-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 BALLANTYNE COMMONS PKWY STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773416",
            "telephone_number": "704-544-2274",
            "fax_number": "704-542-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "JUDITH",
        "middle_name": "HERZ",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2436",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HT8114",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "AU2436",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "CONLEY",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.