Individual provider Active NPI

Cindy Beth Pichler, AU.D., CCC-A, FAAA

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1518005149
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-1937 Issued in NV
Practice address
1161 S Valley View Blvd
Audiology
Las Vegas, NV 89102-1854
Phone
(702) 486-7670
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-000039 IL
Audiologist 231H00000X A-1937 NV Primary

Addresses

Primary practice location

1161 S Valley View Blvd
Audiology
Las Vegas, NV 89102-1854

Mailing address

10650 Suffolk Hills Ave
Las Vegas, NV 89129-3246
Phone (847) 636-8595

Other identifiers 5

IdentifierTypeStateIssuer
3038OtherILDSCC PROVIDER
A-1937OtherNVNEVADA SPEECH-LANGUAGE, AUDIOLOGY AND HEARING AID DISPENSER BOARD
147-000039OtherILPROFESSIONAL LICENSE
CP62180299POtherILEARLY INTERVENTION PROVID
01031665-02OtherILASHA CERTIFICATION

Other names 1

  • Cindy Beth Gistenson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
147-000039ILMDAudiologist
A-1937NVMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1518005149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 SUFFOLK HILLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293246",
            "telephone_number": "847-636-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 S VALLEY VIEW BLVD",
            "address_2": "AUDIOLOGY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021854",
            "telephone_number": "702-486-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHLER",
        "first_name": "CINDY",
        "middle_name": "BETH",
        "credential": "AU.D., CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000039",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSCC PROVIDER",
            "identifier": "3038",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA SPEECH-LANGUAGE, AUDIOLOGY AND HEARING AID DISPENSER BOARD",
            "identifier": "A-1937",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "147-000039",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION PROVID",
            "identifier": "CP62180299P",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "01031665-02",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "GISTENSON",
            "middle_name": "BETH",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.