Individual provider Active NPI

Casey Heidohrn, AUD

  • Audiologist-Hearing Aid Fitter
  • Palo Alto, CA
National Provider Identifier
1750867875
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU3324 Issued in CA
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

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address cheidohrn@stanfordchildrens.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119000261 CA Practitioner - Qualified Audiologist 7719319490 Reassigns benefits to 1 organization

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
Center for Early Intervention on DeafnessGroup PAC ID 8527388842, 4 clinicians

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

LicenseStateTypeSpecialty
AU3324CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Early Intervention on Deafness Audiologist-Hearing Aid Fitter CurrentSince Jun 6, 2022 Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford PastSince Jun 6, 2022 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.

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.

Verify at the official NPI Registry.