Kristie A Iacuessa, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AP1251, DL20000389 Issued in ME

Practice address

163 Main St
Yarmouth, ME 04096-6720

Phone

(207) 846-1380

Fax

(207) 846-9701

NPI assigned

Nov 20, 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 3

Other names 1

• Kristie A Dion Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Greater Portland Hearing PCGroup PAC ID 9335394956, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Greater Portland Hearing PC

  • Audiologist-Hearing Aid Fitter
  • Yarmouth, ME
  • NPI 1194077602
  Medicare reassignment Care Compare group NPD Authorized official
• HBC Marty Layne Associates, LLC

  • Audiologist
  • Scarborough, ME
  • NPI 1356536296
  NPD (past)
• Hearing Healthcare Associates, Inc.

  • Audiologist-Hearing Aid Fitter
  • Augusta, ME
  • NPI 1649289307
  NPD (past)
• Martha a Layne

  • Speech-Language Pathologist
  • Scarborough, ME
  • NPI 1437252590
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1063586907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966720",
            "telephone_number": "207-846-1380",
            "fax_number": "207-846-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966720",
            "telephone_number": "207-846-1380",
            "fax_number": "207-846-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACUESSA",
        "first_name": "KRISTIE",
        "middle_name": "A",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "AP1251, DL20000389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274460099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3207069",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "060404",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "DION",
            "middle_name": "A",
            "credential": "M.A., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley Victoria Hollis, LCPC-C
• Tim Holt
• Jonathan Hopps
• Jennifer Sue Hubbard, RPH
• Alex Hutcheon, DDS
• Impact Health Me, LLC
• Independence Home Care LLC
• Insight Eyecare PA
• Integrative Health Solutions Inc
• Intermed, PA

• Audiologist-Hearing Aid Fitter in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Audiologist-Hearing Aid Fitter in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.