Active NPI
Erin M Walborn, AU.D.
- Audiologist
- Rensselaer, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001566-1
- Practice address
- 2 Empire Dr
Suite 204
Rensselaer, NY 12144-5730 - Phone
- (518) 283-6111
- Fax
- (518) 283-6161
- NPI assigned
- Sep 20, 2005
- Last updated
- Oct 5, 2022
- 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 | 001566-1 | NY | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 001566-1 | NY |
Addresses
Primary practice location
2 Empire Dr
Suite 204
Rensselaer, NY 12144-5730
Mailing address
2 Empire Dr
Suite 204
Rensselaer, NY 12144-5730
Phone (518) 283-6111
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37602 | Other | NY | GHI/HMO & PPO |
| 10023791 | Other | NY | CDPHP |
| 20-1672788 | Other | NY | CHAMPUS/TRICARE |
| 20-1672788 | Other | NY | NYS EMPIRE PLAN/UH |
| 411525 | Other | NY | MVP |
| 000490164002 | Other | NY | BS OF NENY |
| M7441 | Other | NY | EMPIRE BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Empire Dr
Suite 204
Rensselaer, NY 12144-5730
Phone (518) 283-6111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001566 | NY | MD | Midwife |
| 001566-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiologic Solutions Inc | Current | Accepting new patients |
Locations
319 S Manning Blvd
Ste 307
Albany, NY 12208
Phone (518) 525-5208
351 Fairview Ave
Hudson, NY 12534
Phone (518) 283-6111
351 Fairview Ave
Ste 350
Hudson, NY 12534
802 Warren St
Hudson, NY 12534
Phone (518) 828-7700
2 Empire Dr
Ste 204
Rensselaer, NY 12144
Phone (518) 283-6111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- 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": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1316932932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EMPIRE DR",
"address_2": "SUITE 204",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121445730",
"telephone_number": "518-283-6111",
"fax_number": "518-283-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EMPIRE DR",
"address_2": "SUITE 204",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121445730",
"telephone_number": "518-283-6111",
"fax_number": "518-283-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALBORN",
"first_name": "ERIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001566-1",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "001566-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO & PPO",
"identifier": "37602",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10023791",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "20-1672788",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS EMPIRE PLAN/UH",
"identifier": "20-1672788",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "411525",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF NENY",
"identifier": "000490164002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "M7441",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rensselaer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.