Active NPI
Ann Lynn Raabe, AUD, CCC-A
- Audiologist
- Mauston, WI
National Provider Identifier
1558367128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 104-156
- Practice address
- Hess Memorial Hospital
1050 Division St.
Mauston, WI 53948-1931 - Phone
- (608) 847-1414
- Fax
- (608) 847-6452
- NPI assigned
- Jun 28, 2005
- 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 | 104-156 | WI | Primary |
Addresses
Primary practice location
Hess Memorial Hospital
1050 Division St.
Mauston, WI 53948-1931
Mailing address
601 Indian Mound Rd
New Lisbon, WI 53950-1526
Phone (608) 562-5535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41113800 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104-156 | WI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1558367128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 INDIAN MOUND RD",
"city": "NEW LISBON",
"state": "WI",
"postal_code": "539501526",
"telephone_number": "608-562-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HESS MEMORIAL HOSPITAL",
"address_2": "1050 DIVISION ST.",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481931",
"telephone_number": "608-847-1414",
"fax_number": "608-847-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAABE",
"first_name": "ANN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "AUD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "104-156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41113800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.