Individual provider Active NPI

Corrine Reeves, AUD

  • Audiologist
  • Herculaneum, MO
National Provider Identifier
1689302473
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2022030615 Issued in MO
Practice address
1185 Scenic Dr Ste 157
Herculaneum, MO 63048-1433
Phone
(573) 756-0500
Fax
(573) 756-0505
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2022030615 MO Primary

Addresses

Primary practice location

1185 Scenic Dr Ste 157
Herculaneum, MO 63048-1433

Mailing address

620 Walton Dr
Farmington, MO 63640-1935
Phone (573) 756-0500

Other practice location 1

620 Walton Dr
Farmington, MO 63640-1935
Phone (573) 756-0500

Other identifiers 1

IdentifierTypeStateIssuer
2022030615OtherMOLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hearingcarepartners.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908002128 MO Practitioner - Qualified Audiologist 5890179931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology & Hearing Center of Farmington, Inc CurrentSince Aug 3, 2022 Accepting new patients

Locations

620 Walton Dr
Farmington, MO 63640
Phone (573) 756-0500

1185 Scenic Dr
Ste 157
Herculaneum, MO 63048
Phone (573) 756-0500

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1689302473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WALTON DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401935",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 SCENIC DR STE 157",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630481433",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Walton Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401935",
            "country_code": "US",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "CORRINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2022030615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2022030615",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hearingcarepartners.com",
            "affiliation": "N",
            "address_1": "620 Walton Dr",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herculaneum, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.