Individual provider Active NPI

Carrie E Boss, AU.D

  • Audiologist
  • Pittsburgh, PA
National Provider Identifier
1093277378
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006375 Issued in PA
Practice address
5301 Grove Rd
Pittsburgh, PA 15236-1691
Phone
(412) 881-4377
Fax
(412) 885-9181
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006375 PA Primary

Addresses

Primary practice location

5301 Grove Rd
Pittsburgh, PA 15236-1691

Mailing address

121 Cherrington Dr
Pittsburgh, PA 15237-3916
Phone (412) 526-6554

Other practice location 1

1250 Old Freeport Rd Ste B
Pittsburgh, PA 15238-3111
Phone (412) 406-8534

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT006375PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
R. W. Petruso Hearing and Audiology Center, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1093277378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHERRINGTON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373916",
            "telephone_number": "412-526-6554",
            "fax_number": "412-885-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 GROVE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361691",
            "telephone_number": "412-881-4377",
            "fax_number": "412-885-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Old Freeport Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152383111",
            "country_code": "US",
            "telephone_number": "412-406-8534",
            "fax_number": "412-406-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSS",
        "first_name": "CARRIE",
        "middle_name": "E",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.