Sharlene E Pekny, M.S. CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

00297 Issued in IA

Practice address

530 E Broadway
Council Bluffs, IA 51503-4413

Phone

(712) 322-8393

Fax

(712) 322-2660

NPI assigned

Oct 18, 2007

Last updated

Oct 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Grace Hearing Instruments, Inc.

  dba Audology Services & Hearing Aid Center

  • Audiologist
  • Council Bluffs, IA
  • NPI 1720152986
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1558550202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034413",
            "telephone_number": "712-322-8393",
            "fax_number": "712-322-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034413",
            "telephone_number": "712-322-8393",
            "fax_number": "712-322-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKNY",
        "first_name": "SHARLENE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "00010",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "00297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126078",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I5121",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Paulsen
• Sherri Sue Payne, CRNP
• Traci Michelle Payne, RDH
• Raymond Peak
• Katie Marie Peck, M.S.
• Brian B Penly, DDS
• Constance Penzotti, PHARMD
• Jeremy P Pepin, M.D.
• Ashley Peregrine
• Taylor Perez

• Audiologist-Hearing Aid Fitter in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Audiologist-Hearing Aid Fitter in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.