Kristina Petraitis, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A01702 Issued in OH

Practice address

9150 Market Square Dr
Suite 202
Streetsboro, OH 44241-4571

Phone

(330) 626-2211

Fax

(330) 626-2294

NPI assigned

Sep 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A Northcoast Ear, Nose and Throat, Inc

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Mayfield Heights, OH
  • NPI 1629266747
  NPD (past)
• Primary Care Assoc of N

  • Internal Medicine Physician
  • Kent, OH
  • NPI 1336195932
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1407089741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MARKET SQUARE DR",
            "address_2": "SUITE 202",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414571",
            "telephone_number": "330-626-2211",
            "fax_number": "330-626-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MARKET SQUARE DR",
            "address_2": "SUITE 202",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414571",
            "telephone_number": "330-626-2211",
            "fax_number": "330-626-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAITIS",
        "first_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01702",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A01702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Paul, SLP-CFY
• Karen M. Paul
• Joel Michael Peddle
• Kaushik Ram Peram, DMD
• Anette A Peters
• Steven Pirko
• Gregory Paul Plazek Sr.
• Jeanine Ann Pleasant
• Christina Zita Poecze, P.T.
• Jaysie Lynn Popovich, CNP

• Audiologist in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.