Jacqueline Christine Carder, AU.D.
Individual provider Active NPI Audiologist · Cedar Rapids, IA
NPI 1710240866 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1710240866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 000744 (IA)
- Practice address
- 4401 6TH St SW
Grant Wood Area Education Agency
Cedar Rapids, IA 52404-4432 - Phone
- (319) 731-4636
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State University of Iowa
Practice addresses (Care Compare)
250 Hawkins Dr
Wendell Johnson Speech and Hearing Center
Iowa City, IA 52242-1012
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130121000026 | IA | Practitioner - Qualified Audiologist | 0446403687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- jcarder58287@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000744 | IA | Yes |
| Audiologist-Hearing Aid Fitter | 237600000X | 001057 | IA |
Addresses
Primary practice location
4401 6TH St SW
Grant Wood Area Education Agency
Cedar Rapids, IA 52404-4432
Mailing address
4401 6TH St SW
Grant Wood Area Education Agency
Cedar Rapids, IA 52404-4432
Phone (319) 731-4636
Other names
- Dr. Jacqueline Christine Hackbarth
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.