Individual provider Active NPI

Carolyn Hussey Gaiero, AU.D.

  • Audiologist
  • Belfast, ME
National Provider Identifier
1144376260
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP1107 Issued in ME
Practice address
147 Northport Ave
Belfast, ME 04915
Phone
(207) 338-6770
Fax
(207) 338-3488
NPI assigned
Jan 25, 2007
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AP1107 ME Primary
Audiologist-Hearing Aid Fitter 237600000X DL350 ME

Addresses

Primary practice location

147 Northport Ave
Belfast, ME 04915

Mailing address

147 Northport Ave
Belfast, ME 04915
Phone (207) 338-6770

Other identifiers 1

IdentifierTypeStateIssuer
133250000MedicaidME

Other names 1

  • Carolyn Ruth Hussey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000240 ME Practitioner - Qualified Audiologist 3173783610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

147 Northport Ave
Belfast, ME 04915-6066
Phone (207) 338-6770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP1107MEMDAudiologist
DL350MEMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Solutions, PA CurrentSince Sep 12, 2011 Accepting new patients
Incare Tufts PLLC Past Accepting new patients
Incare LLC PastSince Feb 1, 2022 Accepting new patients

Locations

147 Northport Ave
Belfast, ME 04915
Phone (207) 338-6770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD

Organizations & group practices 3

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1144376260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "04915",
            "telephone_number": "207-338-6770",
            "fax_number": "207-338-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "04915",
            "telephone_number": "207-338-6770",
            "fax_number": "207-338-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIERO",
        "first_name": "CAROLYN",
        "middle_name": "HUSSEY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "AP1107",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "DL350",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133250000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HUSSEY",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.