Active NPI
Katrina I Brow, AU.D.
- Assistive Technology Supplier Audiologist
- Chicago, IL
National Provider Identifier
1003822107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- 147.001323
- Practice address
- 111 N Wabash Ave
Suite 1618
Chicago, IL 60602-1903 - Phone
- (312) 251-0100
- Fax
- (312) 251-0123
- NPI assigned
- Jul 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3412 | SC | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 147.001323 | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave
Suite 1618
Chicago, IL 60602-1903
Mailing address
215 Shuman Blvd
Suite 401
Naperville, IL 60563-8458
Phone (331) 229-8316
Other names 1
- Katrina I Banowetz
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3412 | SC | MD | Occupational Therapy Assistant |
| 002188 | NY | MD | Neurorehabilitation Occupational Therapist |
| 147.001323 | IL | MD | Assistive Technology Supplier Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1003822107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD",
"address_2": "SUITE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638458",
"telephone_number": "331-229-8316",
"fax_number": "978-313-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "SUITE 1618",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-251-0100",
"fax_number": "312-251-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROW",
"first_name": "KATRINA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3412",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "IL",
"license": "147.001323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATRINA",
"last_name": "BANOWETZ",
"middle_name": "I",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.