Active NPI
Carrie A Young, AUD
- Audiologist
- Amherst, NY
National Provider Identifier
1700970738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001786-1
- Practice address
- 4600 Main St
Suite 201
Amherst, NY 14226-4500 - Phone
- (716) 833-4488
- Fax
- (716) 839-1218
- NPI assigned
- Oct 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001786-1 | NY | Primary |
Addresses
Primary practice location
4600 Main St
Suite 201
Amherst, NY 14226-4500
Mailing address
4600 Main St
Suite 201
Amherst, NY 14226-4500
Phone (716) 833-4488
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011176701 | Other | NY | UNIVERA |
| 000576112003 | Other | NY | BC/BS AUDIOLOGIST-OP |
| 000580000005 | Other | NY | BC/BS HEARING AID-OP |
| 000580000003 | Other | NY | BC/BS HEARING AID-HARLEM |
| 9200301 | Other | NY | IHA |
| 000576112002 | Other | NY | BC/BS AUDIOLOGIST-HARLEM |
Other names 1
- Carrie A Secor
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 |
|---|---|---|---|
| 001786 | NY | MD | Athletic Trainer |
| 001786-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Sounds Audiology, Inc | Past | Accepting new patients | |
| Hearing Evaluation Services of Buffalo, Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Amherst, NY
- NPI 1508839663
-
- Audiology Assistant
- Amherst, NY
- NPI 1568099596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1700970738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MAIN ST",
"address_2": "SUITE 201",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264500",
"telephone_number": "716-833-4488",
"fax_number": "716-839-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MAIN ST",
"address_2": "SUITE 201",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264500",
"telephone_number": "716-833-4488",
"fax_number": "716-839-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CARRIE",
"middle_name": "A",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001786-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011176701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS AUDIOLOGIST-OP",
"identifier": "000576112003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS HEARING AID-OP",
"identifier": "000580000005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS HEARING AID-HARLEM",
"identifier": "000580000003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9200301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS AUDIOLOGIST-HARLEM",
"identifier": "000576112002",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "SECOR",
"middle_name": "A",
"credential": "AUD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.