Individual provider Active NPI

Tracey Chapin Krumel, AU.D.

  • Audiologist
  • Charlotte, NC
National Provider Identifier
1871762666
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4006 Issued in NC
Practice address
2711 Randolph Rd Ste 307
Charlotte, NC 28207-2027
Phone
(704) 334-4428
Fax
(704) 332-3261
NPI assigned
Feb 26, 2008
Last updated
Jan 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4006 NC Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 307
Charlotte, NC 28207-2027

Mailing address

PO Box 406153
Atlanta, GA 30384-1876
Phone (561) 478-8770

Other identifiers 1

IdentifierTypeStateIssuer
7412881MedicaidNC

Other names 1

  • Ms. Tracey Leigh Chapin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4006NCMDClinical Psychologist
2252SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hearusa Inc Past Accepting new patients
Audiology Distribution, LLC Past Accepting new patients
Hearusa, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1871762666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406153",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "561-478-8770",
            "fax_number": "561-688-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 307",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-334-4428",
            "fax_number": "704-332-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMEL",
        "first_name": "TRACEY",
        "middle_name": "CHAPIN",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "4006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412881",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "CHAPIN",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.