Individual provider Active NPI

Cameron Ann Graykowski

  • Hearing Instrument Specialist
  • North Liberty, IA
National Provider Identifier
1174301949
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
106021 Issued in IA
Practice address
650 Pacha Pkwy Ste 7
North Liberty, IA 52317-4865
Phone
(319) 665-2331
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 106021 IA Primary

Addresses

Primary practice location

650 Pacha Pkwy Ste 7
North Liberty, IA 52317-4865

Mailing address

650 Pacha Pkwy Ste 7
North Liberty, IA 52317-4865
Phone (319) 665-2331

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

LicenseStateTypeSpecialty
106021IAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Hearing Associates LLC PastSince Sep 24, 2023 Accepting new patients

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1174301949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PACHA PKWY STE 7",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174865",
            "telephone_number": "319-665-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PACHA PKWY STE 7",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174865",
            "telephone_number": "319-665-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYKOWSKI",
        "first_name": "CAMERON",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "106021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.