Individual provider Active NPI

Krista Davison, AU.D.

  • Audiologist
  • Concord, NH
National Provider Identifier
1467716845
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
IA612 Issued in NH
Practice address
2 Industrial Park Dr
Concord, NH 03301-8520
Phone
(603) 224-9043
Fax
(603) 228-2133
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X IA612 NH Primary

Addresses

Primary practice location

2 Industrial Park Dr
Concord, NH 03301-8520

Mailing address

2 Industrial Park Dr
Concord, NH 03301-8520
Phone (603) 224-9043

Other practice location 1

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121101000376 NH Practitioner - Qualified Audiologist 8325298177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Practice addresses (Care Compare)

149 Emerald St
Keene, NH 03431-3611
Phone (603) 354-4000

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IA612NHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Medical Center CurrentSince Jan 13, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 13, 2020 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 13, 2020 Accepting new patients
Foundation Medical Partners Inc. PastSince Jul 22, 2018 Accepting new patients
Mary Hitchcock Memorial Hospital Past Accepting new patients

Locations

149 Emerald St
Keene, NH 03431
Phone (603) 354-5420

590 Court St
Keene, NH 03431
Phone (603) 354-5454

580 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

6 Buttrick Rd
Ste 301
Londonderry, NH 03053
Phone (603) 425-6530

Organizations & group practices 5

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1467716845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018520",
            "telephone_number": "603-224-9043",
            "fax_number": "603-228-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018520",
            "telephone_number": "603-224-9043",
            "fax_number": "603-228-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311719",
            "country_code": "US",
            "telephone_number": "603-354-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "KRISTA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "IA612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.