Active NPI
Ann Marie Pickart, HEARING INST SPECIAL
- Hearing Instrument Specialist
- Fond Du Lac, WI
National Provider Identifier
1164686143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1102
- Practice address
- 481 E Division St
Ste 900
Fond Du Lac, WI 54935 - Phone
- (920) 926-1288
- Fax
- (920) 926-0533
- NPI assigned
- Jul 18, 2008
- Last updated
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1102 | WI | Primary |
Addresses
Primary practice location
481 E Division St
Ste 900
Fond Du Lac, WI 54935
Mailing address
481 E Division St
Ste 900
Fond Du Lac, WI 54935
Phone (920) 926-1288
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42857500 | Medicaid | WI | |
| 42831900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102 | WI | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Aid Equipment
- Fond Du Lac, WI
- NPI 1215206347
-
- Hearing Instrument Specialist
- Fond Du Lac, WI
- NPI 1700119179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1164686143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 E DIVISION ST",
"address_2": "STE 900",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "54935",
"telephone_number": "920-926-1288",
"fax_number": "920-926-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 E DIVISION ST",
"address_2": "STE 900",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "54935",
"telephone_number": "920-926-1288",
"fax_number": "920-926-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKART",
"first_name": "ANN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "HEARING INST SPECIAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42857500",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42831900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.