Dana J. Boddorf, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT-000990-L Issued in PA

Practice address

233 Easterly Pkwy
Ste 102
State College, PA 16801-6300

Phone

(814) 867-4327

NPI assigned

Jul 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albrecht Audiology LLCGroup PAC ID 0042501744, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

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.

• Albrecht Audiology, LLC

  • Audiologist
  • State College, PA
  • NPI 1649470923
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1962666586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E HIGH ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232305",
            "telephone_number": "814-769-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 EASTERLY PKWY",
            "address_2": "STE 102",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016300",
            "telephone_number": "814-867-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDORF",
        "first_name": "DANA",
        "middle_name": "J.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT-000990-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance L Bliss, D.C.
• Cristina B Bloom, MSW, LSW
• Blue & White Counseling LLC
• Ashton Boal, PSY.D.
• Angela Lynn Bobak, DO
• Katherine Marie Boehm, NP
• Jennifer Bonanni, PHARMD, BCPS, BCACP
• Casey Lee Bonsell, PHARMD
• Roberta Jean Boob, PTA
• Sarah E Bork, MD

• Audiologist in State College, PA
• Providers in State College, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.