Individual provider Active NPI

Courtney Stone, AU.D

  • Audiologist
  • Plymouth, MN
National Provider Identifier
1285670547
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7939 Issued in MN
Practice address
3030 Harbor LN N
Ste 227
Plymouth, MN 55447-5157
Phone
(763) 744-1190
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7939 MN Primary

Addresses

Primary practice location

3030 Harbor LN N
Ste 227
Plymouth, MN 55447-5157

Mailing address

3030 Harbor LN N
Ste 227
Plymouth, MN 55447-5157
Phone (763) 744-1190

Other practice location 1

14050 Nicollet Ave South
114
Burnsville, MN 55337-5710
Phone (952) 303-5895

Other identifiers 1

IdentifierTypeStateIssuer
C04978OtherMNMEDICARE ID NUMBER FOR AUDIOLOGY CONCEPTS

Other names 1

  • Courtney Sterk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000737 MN Practitioner - Qualified Audiologist 5991837809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Audiology CorporationGroup PAC ID 0446203962, 9 clinicians

Practice addresses (Care Compare)

1907 Wayzata Blvd
FL 3
Wayzata, MN 55391-2017
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7939MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Audiology Corporation Audiologist CurrentSince Oct 28, 2024 Accepting new patients
Audiology Concepts, LLC Audiologist PastSince Mar 22, 2010 Accepting new patients
Affinity Hearing, LLC Audiologist Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

7600 France Ave S
Ste 1100
Minneapolis, MN 55435
Phone (763) 545-7545

1907 Wayzata Blvd
Fl 3
Wayzata, MN 55391
Phone (209) 424-4284

Organizations & group practices 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285670547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 HARBOR LN N",
            "address_2": "STE 227",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475157",
            "telephone_number": "763-744-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 HARBOR LN N",
            "address_2": "STE 227",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475157",
            "telephone_number": "763-744-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14050 Nicollet Ave South",
            "address_2": "114",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375710",
            "country_code": "US",
            "telephone_number": "952-303-5895",
            "fax_number": "952-303-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "7939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER FOR AUDIOLOGY CONCEPTS",
            "identifier": "C04978",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "STERK",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.