NPI Code Detail JSON Logo

1467794669 NPI number — MELISSA S. ALDANA HERMANN AU.D.

NPI Number: 1467794669
Health Care Provider/Practitioner: MELISSA S. ALDANA HERMANN AU.D.

Information about “1467794669” NPI (MELISSA S. ALDANA HERMANN AU.D.) exists in 1467794669 in HTML format HTML  |  1467794669 in plain Text format TXT  |  1467794669 in PDF (Portable Document Format) PDF  |  1467794669 in an XML format XML  formats.

NPI Number : 1467794669 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467794669",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALDANA HERMANN",
    "FirstName": "MELISSA",
    "MiddleName": "S.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AU.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4740 KINGSWAY DR # 33",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46205-1521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-828-0211",
    "MailingAddressFaxNumber": "888-887-0932",
    "FirstLinePracticeLocationAddress": "4740 KINGSWAY DR STE 33",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46205-1521",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-828-0211",
    "PracticeLocationAddressFaxNumber": "888-887-0932",
    "EnumerationDate": "03/26/2013",
    "LastUpdateDate": "07/10/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "1312111",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231HA2400X",
          "TaxonomyName": "Assistive Technology Practitioner Audiologist",
          "LicenseNumber": "1312111",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231HA2400X",
          "TaxonomyName": "Assistive Technology Practitioner Audiologist",
          "LicenseNumber": "23002562A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231HA2500X",
          "TaxonomyName": "Assistive Technology Supplier Audiologist",
          "LicenseNumber": "23002562A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231HA2500X",
          "TaxonomyName": "Assistive Technology Supplier Audiologist",
          "LicenseNumber": "1312111",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "23002562A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "1312111",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "23002562A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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