Active NPI
Annette Marie Redman, DOCTOR OF AUDIOLOGY
- Audiologist-Hearing Aid Fitter
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 632
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IB1797002 | Other | IA | MEDICARE |
| IB1704002 | Other | IA | MEDICARE |
| 2092361 | Medicaid | IA | |
| IB1795002 | Other | IA | MEDICARE |
| IB1796002 | Other | IA | MEDICARE |
| IB1798002 | Other | IA | MEDICARE |
| IB1799002 | Other | IA | MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 387 | IA | MD | Audiologist |
| 632 | IA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
dba Black Hawk Hearing Aid Center
- Hearing Instrument Specialist
- Waterloo, IA
- NPI 1467448217
-
dba Iowa Hearing Clinic
- Hearing Instrument Specialist
- Waterloo, IA
- NPI 1962498816
Audiologist-Hearing Aid Fitter
-
dba All American Hearing
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
Audiologist-Hearing Aid Fitter
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.