NPIMap

Organization Active NPI

Arizona State University

  • Audiologist
  • Tempe, AZ
National Provider Identifier
1952338865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ARIZONA STATE UNIVERSITY
Practice address
Coor Hall 2211
Tempe, AZ 85287-0102
Phone
(480) 965-2373
Fax
(480) 965-0076
NPI assigned
Jun 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ingrid Kristina McBride, AU.D.NPI 1801861588
Title
Director of Audiology
Phone
(480) 965-0614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

Coor Hall 2211
Tempe, AZ 85287-0102

Mailing address

Coor Hall 2211
PO Box 870102
Tempe, AZ 85287-0102
Phone (480) 965-2373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001291 AZ Part B Supplier - Clinic/Group Practice 7012997976 Receives reassigned benefits from 12 practitioners
5 other NPIs on this enrollment
Practice locations: Tempe, AZ

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community Health Servic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1124 N 3rd St
Ste 1
Phoenix, AZ 85004
Phone (602) 496-0692

8117 E Roosevelt St
Scottsdale, AZ 85257
Phone (480) 941-9283

1555 N Bridalwreath St
Tempe, AZ 85288
Phone (480) 858-6527

2150 E Orange St
Tempe, AZ 85281
Phone (480) 350-5878

975 S Myrtle Ave
Tempe, AZ 85287

975 S Myrtle Ave
Ste 2211
Tempe, AZ 85287

Coor Hall 2211
Tempe, AZ 85287

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952338865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COOR HALL 2211",
            "address_2": "PO BOX 870102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852870102",
            "telephone_number": "480-965-2373",
            "fax_number": "480-965-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COOR HALL 2211",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852870102",
            "telephone_number": "480-965-2373",
            "fax_number": "480-965-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "480-965-0614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.