Active NPI
Abigail J Sedenka, AUD
- Audiologist-Hearing Aid Fitter
- South Portland, ME
National Provider Identifier
1942432034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AP1933
- 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
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-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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP1933 | ME | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dirigo Hearing Center, LLC | Audiologist-Hearing Aid Fitter | Current | 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.
-
- Audiologist
- Biddeford, ME
- NPI 1215632302
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.