Individual provider Active NPI

Kristie Marie Dannemiller-Smith, AU.D.

  • Audiologist
  • Barberton, OH
National Provider Identifier
1124277835
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-01341 Issued in OH
Practice address
390 Robinson Ave Ste B
Barberton, OH 44203-3659
Phone
(330) 734-6360
Fax
(330) 734-6363
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01341 OH Primary
Audiologist-Hearing Aid Fitter 237600000X A-01341 OH

Addresses

Primary practice location

390 Robinson Ave Ste B
Barberton, OH 44203-3659

Mailing address

390 Robinson Ave Ste B
Barberton, OH 44203-3659
Phone (330) 734-6360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000435 OH Practitioner - Qualified Audiologist 0941367569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kristie M. Dannemiller-SmithGroup PAC ID 3779905591, 2 clinicians

Practice addresses (Care Compare)

390 Robinson Ave
Suite B
Barberton, OH 44203-3659
Phone (330) 468-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-01341OHMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Kristie M. Dannemiller-Smith CurrentSince May 16, 2020 Accepting new patients

Locations

390 Robinson Ave
Ste B
Barberton, OH 44203
Phone (330) 468-4288

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1124277835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ROBINSON AVE STE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033659",
            "telephone_number": "330-734-6360",
            "fax_number": "330-734-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ROBINSON AVE STE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033659",
            "telephone_number": "330-734-6360",
            "fax_number": "330-734-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEMILLER-SMITH",
        "first_name": "KRISTIE",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01341",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A-01341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.

Verify at the official NPI Registry.