Russell W Pickett, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

110299 Issued in MO

Practice address

10900 Manchester Rd
Suite #202
Kirkwood, MO 63122-1200

Phone

(314) 835-9996

Fax

(314) 835-9992

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1558387019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 MANCHESTER RD",
            "address_2": "SUITE #202",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221200",
            "telephone_number": "314-835-9996",
            "fax_number": "314-835-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 MANCHESTER RD",
            "address_2": "SUITE #202",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221200",
            "telephone_number": "314-835-9996",
            "fax_number": "314-835-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "RUSSELL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "110299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Penberthy, M.S.W., L.C.S.W.
• Maxine Jeanette Pence, LD, RD
• Mallory A. Perry, M.A., L.P.C.
• Rachel A Peterka
• Rachel Phillips, DPT
• Sherry Kay Pickett, AU.D.
• Marla Rene Placke, LPC
• Craig J. Plahn, DDS
• Diana L. Plahn, DDS
• Katherine Plasmeier

• Audiologist-Hearing Aid Fitter in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Audiologist-Hearing Aid Fitter in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.