Active NPI
Casey Heidohrn, AUD
- Audiologist-Hearing Aid Fitter
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU3324
- Practice address
- 2452 Watson CT Ste 1500
Palo Alto, CA 94303-3216 - Phone
- (650) 498-4327
- Fax
- (650) 736-4327
- NPI assigned
- Jul 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU3324 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 3324 | CA |
Addresses
Primary practice location
2452 Watson CT Ste 1500
Palo Alto, CA 94303-3216
Mailing address
2452 Watson CT Ste 1500
Palo Alto, CA 94303-3216
Phone (650) 498-4327
Other practice location 1
3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 275-8019
Other practice location 2
1035 Grayson St
Berkeley, CA 94710-2642
Phone (510) 848-4800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cheidohrn@stanfordchildrens.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Grayson St
Berkeley, CA 94710-2642
Phone (510) 848-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3324 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Early Intervention on Deafness | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients |
Locations
1035 Grayson St
Berkeley, CA 94710
Phone (510) 848-4800
3800 Coolidge Ave
Oakland, CA 94602
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.
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- Home Infusion Therapy Pharmacy
- Menlo Park, CA
- NPI 1407864374
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1750867875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2452 WATSON CT STE 1500",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943033216",
"telephone_number": "650-498-4327",
"fax_number": "650-736-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2452 WATSON CT STE 1500",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943033216",
"telephone_number": "650-498-4327",
"fax_number": "650-736-4327"
}
],
"practiceLocations": [
{
"address_1": "3800 Coolidge Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946023311",
"country_code": "US",
"telephone_number": "510-275-8019",
"fax_number": "510-373-6528",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 Grayson St",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947102642",
"country_code": "US",
"telephone_number": "510-848-4800",
"fax_number": "510-373-6528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIDOHRN",
"first_name": "CASEY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU3324",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "3324",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cheidohrn@stanfordchildrens.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "2452 Watson Ct Ste 1500",
"city": "Palo Alto",
"state": "CA",
"country_code": "US",
"postal_code": "943033216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.