Active NPI
Erica Mitchinson
- Audiologist-Hearing Aid Fitter
- Fort Myers, FL
National Provider Identifier
1992736748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AY887
- Practice address
- 13691 Metro Pkwy
#430
Fort Myers, FL 33912-4327 - Phone
- (239) 768-3032
- Fax
- (239) 768-5968
- NPI assigned
- Jul 6, 2006
- 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 | AY887 | FL | Primary |
Addresses
Primary practice location
13691 Metro Pkwy
#430
Fort Myers, FL 33912-4327
Mailing address
5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152
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 |
|---|---|---|---|
| AY887 | FL | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992736748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463706",
"telephone_number": "888-333-9152",
"fax_number": "763-268-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13691 METRO PKWY",
"address_2": "#430",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124327",
"telephone_number": "239-768-3032",
"fax_number": "239-768-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHINSON",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AY887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.