Active NPI
Theda Witt, HAD
- Hearing Instrument Specialist
- Albuquerque, NM
National Provider Identifier
1972898260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 486
- Practice address
- 3301 Menaul Blvd NE
Albuquerque, NM 87107-1852 - Phone
- (505) 889-9100
- Fax
- (505) 888-0363
- NPI assigned
- Jun 14, 2011
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 486 | NM | Primary |
Addresses
Primary practice location
3301 Menaul Blvd NE
Albuquerque, NM 87107-1852
Mailing address
8800 SE Sunnyside Rd
300-N
Clackamas, OR 97015-5738
Phone (503) 659-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 486 | NM | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1972898260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD",
"address_2": "300-N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155738",
"telephone_number": "503-659-5115",
"fax_number": "866-448-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071852",
"telephone_number": "505-889-9100",
"fax_number": "505-888-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "THEDA",
"name_prefix": "Mrs.",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NM",
"license": "486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.