Individual provider Active NPI

Patricia Petermann, AUD

  • Audiologist
  • Tacoma, WA
National Provider Identifier
1124219787
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00001633 Issued in WA
Practice address
1311 S Union Ave
Ste 102
Tacoma, WA 98405-1959
Phone
(253) 759-3555
Fax
(253) 759-2988
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00001633 WA Primary

Addresses

Primary practice location

1311 S Union Ave
Ste 102
Tacoma, WA 98405-1959

Mailing address

1311 S Union Ave
Ste 102
Tacoma, WA 98405-1959
Phone (253) 759-3555

Other names 1

  • Patricia Kasebier Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123001644 WA Practitioner - Qualified Audiologist 6204115702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing by Design, Inc Audiologist CurrentSince Mar 4, 2019 Accepting new patients
Ideal Practice Management Group Mi LLC Audiologist Past Accepting new patients

Locations

35 Waterview Blvd
Parsippany, NJ 07054

1833 Auburn Way N
Ste M
Auburn, WA 98002
Phone (253) 204-4289

1515 116th Ave NE
Ste 300
Bellevue, WA 98004
Phone (425) 313-4800

21727 76th Ave W
Ste A
Edmonds, WA 98026
Phone (425) 286-8178

2981 Griffin Ave
Enumclaw, WA 98022
Phone (360) 226-2619

1820 100th Pl SE
Ste A
Everett, WA 98208
Phone (425) 337-5800

118 SW 330th St
Ste 303
Federal Way, WA 98023
Phone (206) 952-2556

15215 SE 272nd St
Ste 104
Kent, WA 98042
Phone (253) 234-9946

12623 Meridian E
Ste B1A
Puyallup, WA 98373
Phone (253) 256-4620

2611 NE 125th St
Ste 238
Seattle, WA 98125
Phone (206) 526-2411

10513 Silverdale Way NW
Ste 109
Silverdale, WA 98383
Phone (360) 558-3929

1311 S Union Ave
Ste 102
Tacoma, WA 98405
Phone (253) 759-3555

14900 Interurban Ave S
Ste 185
Tukwila, WA 98168
Phone (206) 207-7461

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1124219787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S UNION AVE",
            "address_2": "STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051959",
            "telephone_number": "253-759-3555",
            "fax_number": "253-759-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S UNION AVE",
            "address_2": "STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051959",
            "telephone_number": "253-759-3555",
            "fax_number": "253-759-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMANN",
        "first_name": "PATRICIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "KASEBIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.