Individual provider Active NPI

Abigail J Sedenka, AUD

  • Audiologist-Hearing Aid Fitter
  • South Portland, ME
National Provider Identifier
1942432034
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AP1933 Issued in ME
Practice address
100 Foden Rd, West
Suite 100
South Portland, ME 04106-2327
Phone
(207) 347-2910
Fax
(207) 523-8591
NPI assigned
Aug 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AP1933 ME Primary

Addresses

Primary practice location

100 Foden Rd, West
Suite 100
South Portland, ME 04106-2327

Mailing address

100 Gannett Drive
Suitec
South Portland, ME 04106-5900
Phone (207) 828-0361

Other names 1

  • Abigail J Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000384 ME Practitioner - Qualified Audiologist 4284810839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Connecticut School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirigo Hearing Center, LLCGroup PAC ID 3274992961, 2 clinicians

Practice addresses (Care Compare)

413 Alfred St
Biddeford, ME 04005-3742
Phone (207) 810-7256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AP1933MEMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Dirigo Hearing Center, LLC Audiologist-Hearing Aid Fitter CurrentSince May 16, 2023 Accepting new patients

Locations

413 Alfred St
Unit B1B
Biddeford, ME 04005
Phone (207) 874-1065

413 Alfred St
Biddeford, ME 04005
Phone (207) 283-1168

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1942432034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DRIVE",
            "address_2": "SUITEC",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-828-0361",
            "fax_number": "207-874-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN RD, WEST",
            "address_2": "SUITE 100",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-347-2910",
            "fax_number": "207-523-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDENKA",
        "first_name": "ABIGAIL",
        "middle_name": "J",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-22",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "AP1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "JOHNSON",
            "middle_name": "J",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.