Active NPI
Marnie Loura Pomeroy, AU.D.
- Audiologist
- Louisville, KY
National Provider Identifier
1932500352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 242853
- Practice address
- 1050 E Market St Ste 1
Louisville, KY 40206-1874 - Phone
- (502) 588-9587
- Fax
- (502) 588-9580
- NPI assigned
- Sep 5, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A386 | AR | |
| Audiologist-Hearing Aid Fitter | 237600000X | 242909 | KY | |
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Audiologist | 231H00000X | 242853 | KY | Primary |
Addresses
Primary practice location
1050 E Market St Ste 1
Louisville, KY 40206-1874
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100591340 | Medicaid | KY | |
| 7100551290 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A386 | AR | MD | Audiologist |
| 242853 | KY | MD | Audiologist |
| 242909 | KY | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1932500352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E MARKET ST STE 1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061874",
"telephone_number": "502-588-9587",
"fax_number": "502-588-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMEROY",
"first_name": "MARNIE",
"middle_name": "LOURA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "A386",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KY",
"license": "242909",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "242853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100591340",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100551290",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.