Active NPI
Briana Jessica Thornton, AU.D.
- Audiologist
- Mesa, AZ
National Provider Identifier
1912288333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA7445
- Practice address
- 5202 E. Main Street, Ste. 105
Mesa, AZ 85205-8038 - Phone
- (480) 218-1328
- Fax
- (480) 218-1330
- NPI assigned
- Aug 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA7445 | AZ | Primary |
Addresses
Primary practice location
5202 E. Main Street, Ste. 105
Mesa, AZ 85205-8038
Mailing address
5202 E Main St Ste 105
Mesa, AZ 85205-8065
Phone (480) 218-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA7445 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Chandler, AZ
- NPI 1710014410
-
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1912288333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 E MAIN ST STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852058065",
"telephone_number": "480-218-1328",
"fax_number": "480-218-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 E. MAIN STREET, STE. 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852058038",
"telephone_number": "480-218-1328",
"fax_number": "480-218-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "BRIANA",
"middle_name": "JESSICA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA7445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.