Tracey Randall, AU.D.,F.A.A.A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1494-1 Issued in NY

Practice address

2623 Route 52
Hopewell Junction, NY 12533-3215

Phone

(845) 226-2638

Fax

(845) 226-2674

NPI assigned

Jul 6, 2005

Last updated

Dec 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tracey Cresswell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cresswell Audiology PC

  • Audiologist
  • Hopewell JCT, NY
  • NPI 1104395672
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1811994775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 ROUTE 52",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333215",
            "telephone_number": "845-226-2638",
            "fax_number": "845-226-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 ROUTE 52",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333215",
            "telephone_number": "845-226-2638",
            "fax_number": "845-226-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "TRACEY",
        "credential": "AU.D.,F.A.A.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "1494-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "CRESSWELL",
            "credential": "AU.D.,F.A.A.A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward J Prus, DDS
• Michelle Elizabeth Quattrone
• Annabelle Quimby
• Rabi R Sinha Physician P.C. (Community Primary Care)
• Nicole Ramirez
• Wendy L Rango, LPN
• Raymond Opticians
• Melissa Beth Reed, CCC-SLP
• Ellen Reis
• Thomas Ren

• Audiologist-Hearing Aid Fitter in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.