Active NPI
Katrina Elaina Smith Gretsky, AUD
- Audiologist
- Syracuse, NY
National Provider Identifier
1740766336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002810-1
- Practice address
- 1001 James St
Syracuse, NY 13203-2789 - Phone
- (315) 428-0016
- NPI assigned
- Jul 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002810-1 | NY | Primary |
Addresses
Primary practice location
1001 James St
Syracuse, NY 13203-2789
Mailing address
1001 James St
Syracuse, NY 13203-2789
Other names 1
- Katrina Elaina Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002810 | NY | MD | Mental Health Counselor |
| 002810-1 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Current | Accepting new patients |
Locations
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
5320 W Genesee St
Ste 2
Camillus, NY 13031
Phone (315) 469-5400
240 W Seneca St
Ste 3
Manlius, NY 13104
Phone (315) 682-2025
1001 James St
Syracuse, NY 13203
Phone (315) 428-0016
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 and National Provider Directory roles.
-
dba Hearinglife
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, NY
-
- Hearing and Speech Clinic/Center
- Castleton, NY
- NPI 1336974963
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1740766336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032789",
"telephone_number": "315-428-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH GRETSKY",
"first_name": "KATRINA",
"middle_name": "ELAINA",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002810-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATRINA",
"last_name": "SMITH",
"middle_name": "ELAINA",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.