Individual provider Active NPI

Carolynne M Pouliot, AUD

  • Audiologist
  • Rochester, NY
National Provider Identifier
1033358155
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
21 Alta Vista Dr
Rochester, NY 14625-1516
Phone
(585) 507-5237
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NY Primary

Addresses

Primary practice location

21 Alta Vista Dr
Rochester, NY 14625-1516

Mailing address

21 Alta Vista Dr
Rochester, NY 14625-1516
Phone (585) 507-5237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427000576 NY Practitioner - Qualified Audiologist 7517266471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2479 Browncroft Blvd
Rochester, NY 14625-1431
Phone (585) 348-9886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002261NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Aid Works Audiology PLLC CurrentSince Jan 30, 2016 Accepting new patients

Locations

2479 Browncroft Blvd
Rochester, NY 14625
Phone (585) 348-9886

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1033358155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ALTA VISTA DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251516",
            "telephone_number": "585-507-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ALTA VISTA DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251516",
            "telephone_number": "585-507-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIOT",
        "first_name": "CAROLYNNE",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.