Susan Kay Pickford, AUD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

00284 Issued in IA

Practice address

1225 S Gear Ave Ste 255
West Burlington, IA 52655-1687

Phone

(319) 752-2725

Fax

(319) 753-1084

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1184760233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE STE 255",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551687",
            "telephone_number": "319-752-2725",
            "fax_number": "319-753-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE STE 255",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551687",
            "telephone_number": "319-752-2725",
            "fax_number": "319-753-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKFORD",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "00284",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "00493",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "00493",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IA",
            "license": "00284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150136",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184760233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Kolbe Perkins, LISW
• Douglas W Peters, M.D.
• Bailey Peterson, LMSW
• Mary Anne Pfeifer
• John William Phillips, M.D.
• Nicholas Christ Pothitakis, DDS
• Sara Lynn Ragar, DPT
• Viren Mawoj Kumar Raheja, MBBS
• John J Rashid, MD
• Kathy Ibeth Rashid, PAC

• Audiologist in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.