Individual provider Active NPI

Corinne Renee Waterman, AU.D.

  • Audiologist
  • Easton, MD
National Provider Identifier
1407001985
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01241 Issued in MD
Practice address
8737 Brooks Dr Ste 204
Easton, MD 21601-7475
Phone
(410) 820-9826
Fax
(866) 643-0046
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 01241 MD
Audiologist 231H00000X 01241 MD Primary

Addresses

Primary practice location

8737 Brooks Dr Ste 204
Easton, MD 21601-7475

Mailing address

8737 Brooks Dr Ste 204
Easton, MD 21601-7475
Phone (410) 820-9826

Other names 1

  • Corinne Renee Richards Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000299 MD Practitioner - Qualified Audiologist 5799834545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Associates Inc.Group PAC ID 4981626389, 12 clinicians

Practice addresses (Care Compare)

3615 E Joppa Rd
Suite 210
Parkville, MD 21234-3386
Phone (410) 944-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01241MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates Inc. Audiologist CurrentSince Jan 1, 2012 Accepting new patients
Illinois Wisconsin Sertoma Regional Center for Communicative Disorders Audiologist PastSince Dec 1, 2008 Accepting new patients

Locations

2021 K St NW
Ste 420
Washington, DC 20006
Phone (202) 833-3500

3301 New Mexico Ave NW
Ste 310
Washington, DC 20016
Phone (202) 363-2363

609 Dutchmans Ln
Easton, MD 21601
Phone (410) 820-9826

8737 Brooks Dr
Ste 204
Easton, MD 21601
Phone (410) 820-9826

3615 E Joppa Rd
Ste 210
Parkville, MD 21234
Phone (410) 266-6444

9613 Harford Rd
Ste B
Parkville, MD 21234
Phone (410) 668-5500

Organizations & group practices 2

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1407001985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 BROOKS DR STE 204",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017475",
            "telephone_number": "410-820-9826",
            "fax_number": "866-643-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BROOKS DR STE 204",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017475",
            "telephone_number": "410-820-9826",
            "fax_number": "866-643-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "CORINNE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01241",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "RICHARDS",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.