MEDICARE: DR. CARRIE A HILL-VILLANUEVA AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	23002221A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200733540A	OTHER	IN	FIRST STEPS ADVANCED AUD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174667497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARRIE A HILL-VILLANUEVA AU.D.

Provider Business Mailing Address
First Line	:	1020 W JEFFERSON ST
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-2124
Country	:	US
Telephone Number	:	317-736-0080
Fax Number	:	317-736-9301

Provider Business Practice Location Address
First Line	:	1020 W JEFFERSON ST
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-2124
Country	:	US
Telephone Number	:	317-736-0080
Fax Number	:	317-736-9301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	05/22/2013

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