Individual provider Active NPI

Erin M Walborn, AU.D.

  • Audiologist
  • Rensselaer, NY
National Provider Identifier
1316932932
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001566-1 Issued in NY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
37602OtherNYGHI/HMO & PPO
10023791OtherNYCDPHP
20-1672788OtherNYCHAMPUS/TRICARE
20-1672788OtherNYNYS EMPIRE PLAN/UH
411525OtherNYMVP
000490164002OtherNYBS OF NENY
M7441OtherNYEMPIRE BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000081 NY Practitioner - Qualified Audiologist 1052364106 Reassigns benefits to 1 organization

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
Audiologic Solutions IncGroup PAC ID 0345293494, 4 clinicians

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

LicenseStateTypeSpecialty
001566NYMDMidwife
001566-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiologic Solutions Inc CurrentSince Jan 1, 2005 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.

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.

Verify at the official NPI Registry.