Active NPI
Catherine Jackson, MA
- Audiologist-Hearing Aid Fitter
- Santa Fe, NM
National Provider Identifier
1538373386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1030
- Practice address
- 1651 Galisteo St Ste 7
Santa Fe, NM 87505-4752 - Phone
- (505) 988-4327
- Fax
- (505) 988-4328
- NPI assigned
- May 10, 2007
- 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-Hearing Aid Fitter | 237600000X | 1030 | NM | Primary |
Addresses
Primary practice location
1651 Galisteo St Ste 7
Santa Fe, NM 87505-4752
Mailing address
5000 Cheshire Pkwy N
Plymouth, MN 55446-4203
Phone (763) 268-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532 | Other | NM | STATE HEARING AID DISPENS |
| 1030 | Other | NM | STATE LICENSE NUMBER |
| K2469 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1030 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1538373386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE PKWY N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464203",
"telephone_number": "763-268-4000",
"fax_number": "763-268-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 GALISTEO ST STE 7",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054752",
"telephone_number": "505-988-4327",
"fax_number": "505-988-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CATHERINE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": "1030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HEARING AID DISPENS",
"identifier": "532",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "1030",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K2469",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.