Active NPI
Julie Marie Parker, AUD
- Audiologist
- Corning, NY
National Provider Identifier
1073582599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001934
- Practice address
- 3 Guthrie Dr
Corning, NY 14830-3696 - Phone
- (570) 888-5858
- Fax
- (570) 887-2244
- NPI assigned
- Mar 16, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001934-1 | NY | |
| Audiologist | 231H00000X | AT005930 | PA | |
| Audiologist | 231H00000X | 001934 | NY | Primary |
Addresses
Primary practice location
3 Guthrie Dr
Corning, NY 14830-3696
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GU040061 | Other | PA | MEDICARE GROUP |
| P00324439 | Other | NY | RR MEDICARE PIN |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| P00199348 | Other | PA | RR MEDICARE PIN |
| 0267642 | Medicaid | NY |
Other names 1
- Julie Marie Bennett
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbennett7773@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001934-1 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Clinic LTD | Past | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
3 Guthrie Dr
Corning, NY 14830
Phone (607) 973-8000
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849
Interoperability endpoints
- jbennett7773@direct-guthrie.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Otolaryngology Physician
- Sayre, PA
- NPI 1760434112
-
- Endoscopy Clinic/Center
- Sayre, PA
- NPI 1831144047
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1073582599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 GUTHRIE DR",
"city": "CORNING",
"state": "NY",
"postal_code": "148303696",
"telephone_number": "570-888-5858",
"fax_number": "570-887-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JULIE",
"middle_name": "MARIE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001934-1",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT005930",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GU040061",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00324439",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC8362",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC9269",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00199348",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0267642",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbennett7773@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3 Guthrie Dr",
"city": "Corning",
"state": "NY",
"country_code": "US",
"postal_code": "148303696",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JULIE",
"last_name": "BENNETT",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.