Susan Eileen Van Wie, CCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

TAUD5402 Issued in AZ

Practice address

6425 W Constance Way
Laveen, AZ 85339-2798

Phone

(602) 705-8705

NPI assigned

Nov 14, 2007

Last updated

Nov 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adhearence, LLC

  dba Central Auditory Specialists

  • Audiologist
  • Laveen, AZ
  • NPI 1154587590
  Authorized official Same address or phone

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1962683367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 W CONSTANCE WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392798",
            "telephone_number": "602-705-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 W CONSTANCE WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392798",
            "telephone_number": "602-705-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WIE",
        "first_name": "SUSAN",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "TAUD5402",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Valentin Misla
• Valley Care Homes LLC
• Valley Premier Care LLC
• Valley Travelers Social Exploration Inc. (Valley Travelers)
• Valley Wide Behavioral Care, LLC
• David Vargas
• Suja Varghese, FNP-C
• Jisha Varughese, DPT
• Cody Vecchio, DPT
• Elizabeth Verdugo

• Audiologist in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.