Individual provider Active NPI

Emily B. Patterson, AU.D.

  • Audiologist
  • Milwaukee, WI
National Provider Identifier
1114238177
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
551-156 Issued in WI
Practice address
604 N 16TH St Ste 223
Milwaukee, WI 53233-2117
Phone
(414) 288-7426
Fax
(414) 288-3980
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 551-156 WI Primary

Addresses

Primary practice location

604 N 16TH St Ste 223
Milwaukee, WI 53233-2117

Mailing address

604 N 16TH St
Cramer Hall, Room 223
Milwaukee, WI 53233-2117
Phone (414) 288-5551

Other practice location 1

880 Independence Ln
Sauk City, WI 53583-1381
Phone (608) 643-2343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824002084 WI Practitioner - Qualified Audiologist 7315296225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marquette University Audiologist CurrentSince Jul 1, 2018 Accepting new patients

Locations

604 N 16th St
Rm 223
Milwaukee, WI 53233
Phone (414) 288-7426

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1114238177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N 16TH ST",
            "address_2": "CRAMER HALL, ROOM 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332117",
            "telephone_number": "414-288-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N 16TH ST STE 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332117",
            "telephone_number": "414-288-7426",
            "fax_number": "414-288-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Independence Ln",
            "address_purpose": "LOCATION",
            "city": "Sauk City",
            "state": "WI",
            "postal_code": "535831381",
            "country_code": "US",
            "telephone_number": "608-643-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "EMILY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "551-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.