Carrie Denise Cline III, MA CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0018381 Issued in NY

Practice address

2128 Elmwood Avenue
Buffalo, NY 14207-1910

Phone

(416) 874-4500

Fax

(716) 874-8145

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 18

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

State University of New York at Buffalo School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversified Services for Occupational Therapy Physical TherGroup PAC ID 0143204917, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Diversified Services for Occupational Therapy, Physical Ther

  • Audiologist
  • Kenmore, NY
  • NPI 1447283882
  Medicare reassignment Care Compare group NPD
• Western New York Ear, Nose & Throat, P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Orchard Park, NY
  • NPI 1487877817
  Medicare reassignment NPD
• Diversified Services for Occupational Therapy, Physical Therapy, Speec

  • Physical Medicine & Rehabilitation Physician
  • Kenmore, NY
  • NPI 1417576547
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003873365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 HUNTINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141542",
            "telephone_number": "416-874-4500",
            "fax_number": "716-874-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 ELMWOOD AVENUE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071910",
            "telephone_number": "416-874-4500",
            "fax_number": "716-874-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "CARRIE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "name_suffix": "III",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0018381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01465154",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA COMMERCIAL",
            "identifier": "00026873201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLUSMED",
            "identifier": "00026873201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CB ADVANTAGE",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CB LABOR HEALTH",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WNY",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA MEDICARE PPO",
            "identifier": "00026873201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDHEALTH PLUS",
            "identifier": "00026873201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILD HEALTH PLUS FAMILY",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASO",
            "identifier": "00026873201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO 100",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE TRADI",
            "identifier": "00026873201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00187911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY NY",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR BLUE",
            "identifier": "000576115007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL",
            "identifier": "000576115007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Clever, DNP, FNP
• Kelly J Clifford, LCSW
• Vernon Charl Clifton, M.D.
• Alina Climova, PA
• Wendy Cline-Tarbell, LCSW-R
• Mercedes Cline, DNP, FNP-C, ACNP-BC
• Paige Elizabeth Cline
• William B Cline, M.D.
• Clinical Support Services
• Clinton Pharmacy , Inc.

• Audiologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Audiologist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.