Dawn W. Patrick, M.A., CCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

001611 Issued in NY

Practice address

1206 Driving Park Ave
Newark, NY 14513

Phone

(315) 210-6570

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Advanced Hearing Centers

  • Specialist
  • Rochester, NY
  • NPI 1427003730

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1487849261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-331-1313",
            "fax_number": "315-331-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "14513",
            "telephone_number": "315-210-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 West Street",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Canandaiuga",
            "state": "NY",
            "postal_code": "14424",
            "country_code": "US",
            "telephone_number": "585-396-3110",
            "fax_number": "585-396-0979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4638 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541090",
            "country_code": "US",
            "telephone_number": "585-243-2319",
            "fax_number": "585-991-6032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562042",
            "country_code": "US",
            "telephone_number": "315-331-1313",
            "fax_number": "315-331-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "DAWN",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID#",
            "identifier": "11334568",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaida H Park, RN
• Annaliese Austin Parker, CCC/SLP
• Kelly Lynn Parker, LMT
• Jennifer L Parkison, RN, BSN
• Ronak Patel, PTA
• Thomas G Payyapilli, M.D
• Jeffery Peacock, OTR/L
• Alyssa N Peake
• Kevin Mark Penner, OTR/L
• Karen Peppas

• Audiologist in Newark, NY
• Providers in Newark, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.