Active NPI
Susanna Leigh Bartel-Kelso, AUDIOLOGY
- Audiologist
- Newton, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00384
- Practice address
- 204 N 4TH Ave E
Newton, IA 50208-3135 - Phone
- (641) 792-1273
- Fax
- (641) 791-4852
- NPI assigned
- Jun 1, 2005
- Last updated
- Jul 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00384 | IA | Primary |
Addresses
Primary practice location
204 N 4TH Ave E
Newton, IA 50208-3135
Mailing address
204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0178756 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients |
Locations
410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101
1200 Pleasant St
Ste P301A
Des Moines, IA 50309
Phone (515) 241-2865
204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800
Interoperability endpoints
- sbartelkelso1060884@direct.unitypoint.org
Organizations & group practices 3
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1407858764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083135",
"telephone_number": "641-792-1273",
"fax_number": "641-791-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083135",
"telephone_number": "641-792-1273",
"fax_number": "641-791-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTEL-KELSO",
"first_name": "SUSANNA",
"middle_name": "LEIGH",
"credential": "AUDIOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "00384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0178756",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.