Active NPI
Christine A Pernetti
- Audiologist
- Newton, IA
National Provider Identifier
1023528890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 088554
- Practice address
- 204 N 4TH Ave E
Newton, IA 50208-3135 - Phone
- (641) 792-1273
- Fax
- (641) 791-4852
- NPI assigned
- Oct 6, 2017
- 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 | 231H00000X | 088554 | IA | Primary |
Addresses
Primary practice location
204 N 4TH Ave E
Newton, IA 50208-3135
Mailing address
204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1023528890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083135",
"telephone_number": "641-792-1273",
"fax_number": "641-791-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083135",
"telephone_number": "641-792-1273",
"fax_number": "641-791-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNETTI",
"first_name": "CHRISTINE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "088554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.