Individual provider Active NPI

John Aaron Coverstone, AUD

  • Audiologist
  • New Brighton, MN
National Provider Identifier
1336144609
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7496 Issued in MN
Practice address
929 Old Highway 8 NW Ste 200
New Brighton, MN 55112-2777
Phone
(651) 628-4327
Fax
(651) 282-0278
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7496 MN Primary

Addresses

Primary practice location

929 Old Highway 8 NW Ste 200
New Brighton, MN 55112-2777

Mailing address

929 Old Highway 8 NW Ste 200
New Brighton, MN 55112-2777
Phone (651) 628-4327

Other identifiers 1

IdentifierTypeStateIssuer
683565100MedicaidMN

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

LicenseStateTypeSpecialty
7496MNMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1336144609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 OLD HIGHWAY 8 NW STE 200",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122777",
            "telephone_number": "651-628-4327",
            "fax_number": "651-282-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 OLD HIGHWAY 8 NW STE 200",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122777",
            "telephone_number": "651-628-4327",
            "fax_number": "651-282-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVERSTONE",
        "first_name": "JOHN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "7496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683565100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.