Individual provider Active NPI

Kristin Jennifer Pinnow, PH D

  • Audiologist
  • Harrisonburg, VA
National Provider Identifier
1609964998
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001256 Issued in VA
Practice address
2062 Pro Pointe LN
Harrisonburg, VA 22801-8021
Phone
(540) 434-2255
Fax
(540) 434-8778
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 2201001256 VA Primary
Hearing Instrument Specialist 237700000X 2101001462 VA

Addresses

Primary practice location

2062 Pro Pointe LN
Harrisonburg, VA 22801-8021

Mailing address

2062 Pro Pointe LN
Harrisonburg, VA 22801-8021
Phone (540) 434-2255

Other identifiers 2

IdentifierTypeStateIssuer
138421OtherVAANTHEM INS
C08773OtherVAMEDICARE PTAN

Other names 1

  • Kristin Jennifer Sewall Former 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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2101001462VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Hearing Center Inc Audiologist PastSince Feb 26, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1609964998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 PRO POINTE LN",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "540-434-2255",
            "fax_number": "540-434-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 PRO POINTE LN",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "540-434-2255",
            "fax_number": "540-434-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNOW",
        "first_name": "KRISTIN",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001256",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INS",
            "identifier": "138421",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C08773",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SEWALL",
            "middle_name": "JENNIFER",
            "credential": "PH D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.