Individual provider Active NPI

Annette Marie Redman, DOCTOR OF AUDIOLOGY

  • Audiologist-Hearing Aid Fitter
  • Waterloo, IA
National Provider Identifier
1699732263
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
632 Issued in IA
Practice address
3138 Kimball Ave
Waterloo, IA 50702
Phone
(319) 234-4360
Fax
(319) 235-5360
NPI assigned
Apr 27, 2006
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 387 IA
Hearing Instrument Specialist 237700000X IA
Audiologist-Hearing Aid Fitter 237600000X 632 IA Primary

Addresses

Primary practice location

3138 Kimball Ave
Waterloo, IA 50702

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529

Other practice location 1

2055 Kimball Ave
Ste 300
Waterloo, IA 50702
Phone (319) 272-2500

Other practice location 2

1600 1st St E
Independence, IA 50644-3155
Phone (319) 334-6071

Other practice location 3

312 9th St SW
Waverly, IA 50677-2929
Phone (319) 352-4120

Other practice location 4

909 W 1st St
Sumner, IA 50674-1203
Phone (563) 578-3275

Other identifiers 7

IdentifierTypeStateIssuer
IB1797002OtherIAMEDICARE
IB1704002OtherIAMEDICARE
2092361MedicaidIA
IB1795002OtherIAMEDICARE
IB1796002OtherIAMEDICARE
IB1798002OtherIAMEDICARE
IB1799002OtherIAMEDICARE

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

LicenseStateTypeSpecialty
387IAMDAudiologist
632IAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Unlimited LLC Hearing Instrument Specialist Past Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter PastSince Feb 10, 2010 Accepting new patients

Organizations & group practices 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1699732263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "612-351-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "319-234-4360",
            "fax_number": "319-235-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Kimball Ave",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50702",
            "country_code": "US",
            "telephone_number": "319-272-2500",
            "fax_number": "319-272-2503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 1st St E",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "IA",
            "postal_code": "506443155",
            "country_code": "US",
            "telephone_number": "319-334-6071",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 9th St SW",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506772929",
            "country_code": "US",
            "telephone_number": "319-352-4120",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Sumner",
            "state": "IA",
            "postal_code": "506741203",
            "country_code": "US",
            "telephone_number": "563-578-3275",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "387",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1797002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1704002",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2092361",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1795002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1796002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1798002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1799002",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.