Corrine Koepsell-Roth, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

81069 Issued in TX

Practice address

435 N Mulford Rd Ste 10
Rockford, IL 61107-5100

Phone

(815) 399-5279

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Doctors of Hearing Healthcare East, LLC

  • Audiologist
  • Lake Barrington, IL
  • NPI 1053196360
  Medicare reassignment NPD
• Lawrence Clayton & Associates, LLC

  • Audiologist-Hearing Aid Fitter
  • Rockford, IL
  • NPI 1659552701
  Medicare reassignment NPD
• Ear Nose & Throat Specialists of Rockford SC

  • Preferred Provider Organization
  • Rockford, IL
  • NPI 1740491745
  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1831762202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605020",
            "telephone_number": "903-737-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD STE 10",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075100",
            "telephone_number": "815-399-5279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754605020",
            "country_code": "US",
            "telephone_number": "903-737-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEPSELL-ROTH",
        "first_name": "CORRINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "81069",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Knowles, PT, DPT
• Cindy Knupp, SLPA
• William Eric Kobler, MD
• Laura Koch Loner, ANP
• Alexandra Koch
• James David Koepsell, M.D.
• James P. Kofoid, D.C.
• Ashley Kara Kohanyi, LSW
• Ryan Kohl, OTR/L
• Sarah Kohl, LCSW

• Audiologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.