Active NPI
Joanne Weidel Crowson, AUD
- Audiologist
- Cooperstown, NY
National Provider Identifier
1194940254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002257-1
- Practice address
- 1 Atwell Road
Cooperstown, NY 13326-1394 - Phone
- (800) 227-7399
- Fax
- (607) 547-6552
- NPI assigned
- Apr 16, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A 01234 | OH | |
| Speech-Language Pathologist | 235Z00000X | SP 4338 | OH | |
| Hearing Instrument Specialist | 237700000X | A 01234 | OH | |
| Audiologist-Hearing Aid Fitter | 237600000X | A 01234 | OH | |
| Audiologist | 231H00000X | 002257-1 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 019122-1 | NY |
Addresses
Primary practice location
1 Atwell Road
Cooperstown, NY 13326-1394
Mailing address
1 Atwell Road
Cooperstown, NY 13326-1394
Phone (800) 227-7399
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000002218976 | Other | OH | ANTHEM GROUP # |
| 0510772 | Medicaid | OH | |
| 000000440564 | Other | OH | ANTHEM INDIVIDUAL # |
Other names 1
- Dr. Joanne Elizabeth Weidel
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002257-1 | NY | MD | Audiologist |
| 019122-1 | NY | MD | Speech-Language Pathologist |
| SP 4338 | OH | MD | Speech-Language Pathologist |
| A 01234 | OH | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1194940254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATWELL ROAD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261394",
"telephone_number": "800-227-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATWELL ROAD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261394",
"telephone_number": "800-227-7399",
"fax_number": "607-547-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWSON",
"first_name": "JOANNE",
"middle_name": "WEIDEL",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A 01234",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 4338",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OH",
"license": "A 01234",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A 01234",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002257-1",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019122-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP #",
"identifier": "0000002218976",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0510772",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIVIDUAL #",
"identifier": "000000440564",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "WEIDEL",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.