Active NPI
Anna Grace Peters, AU.D.
- Audiologist
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A645
- Practice address
- 30 Canton Street
Ste 2
Manchester, NH 03103 - Phone
- (603) 622-3623
- NPI assigned
- Jul 12, 2011
- Last updated
- Dec 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A645 | NH | Primary |
| Audiologist | 231H00000X | 002353-1 | NY |
Addresses
Primary practice location
30 Canton Street
Ste 2
Manchester, NH 03103
Mailing address
30 Canton Street
Ste 2
Manchester, NH 03103
Phone (603) 622-3623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3106205 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- State University of New York at Buffalo School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
30 Canton St
Manchester, NH 03103-3524
Phone (603) 622-3623
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A645 | NH | MD | Audiologist |
| 002353-1 | NY | MD | Audiologist |
| 002353 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Ear Nose and Throat Specialists of Southern NH | Past | Accepting new patients | |
| Audiologic Solutions Inc | Past | Accepting new patients | |
| New Hampshire Hearing Institute | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
30 Canton St
Manchester, NH 03103
Phone (603) 622-3623
30 Canton St
Ste 2
Manchester, NH 03103
Phone (603) 622-3623
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
dba Hampstead Hospital
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Otolaryngology Physician
- Manchester, NH
- NPI 1447267638
-
- Specialist
- Manchester, NH
- NPI 1871988832
-
- Hearing Aid Equipment
- Rensselaer, NY
- NPI 1609067214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1184912115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CANTON STREET",
"address_2": "STE 2",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03103",
"telephone_number": "603-622-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CANTON STREET",
"address_2": "STE 2",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03103",
"telephone_number": "603-622-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ANNA",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NH",
"license": "A645",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002353-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3106205",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.