Active NPI
Kristine Louise Landenberger, M.A., CCC/A
- Audiologist
- Canton, OH
National Provider Identifier
1104916360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-00699
- Practice address
- 4912 Higbee Ave NW
Suite #200
Canton, OH 44718-2530 - Phone
- (330) 492-2844
- Fax
- (330) 492-0840
- NPI assigned
- Oct 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-00699 | OH | Primary |
Addresses
Primary practice location
4912 Higbee Ave NW
Suite #200
Canton, OH 44718-2530
Mailing address
4912 Higbee Ave NW
Suite #200
Canton, OH 44718-2530
Phone (330) 492-2844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4912 Higbee Ave NW
Canton, OH 44718-2599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-00699 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Head and Neck Surgeons, Inc | Current | Accepting new patients | |
| Union Hospital Medical Services, LLC | Past | Accepting new patients |
Locations
4912 Higbee Ave NW
Ste 200
Canton, OH 44718
Phone (330) 492-2844
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Canton, OH
- NPI 1659468874
-
- Otolaryngology Physician
- Dover, OH
- NPI 1255567814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1104916360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4912 HIGBEE AVE NW",
"address_2": "SUITE #200",
"city": "CANTON",
"state": "OH",
"postal_code": "447182530",
"telephone_number": "330-492-2844",
"fax_number": "330-492-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4912 HIGBEE AVE NW",
"address_2": "SUITE #200",
"city": "CANTON",
"state": "OH",
"postal_code": "447182530",
"telephone_number": "330-492-2844",
"fax_number": "330-492-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDENBERGER",
"first_name": "KRISTINE",
"middle_name": "LOUISE",
"credential": "M.A., CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A-00699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.