Individual provider Active NPI

Carrie Sheets, AU.D.

  • Audiologist
  • Greentown, IN
National Provider Identifier
1891758793
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002368A Issued in IN
Practice address
217 Holiday Dr
Greentown, IN 46936-1630
Phone
(765) 628-3235
Fax
(765) 628-3179
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002368A IN Primary

Addresses

Primary practice location

217 Holiday Dr
Greentown, IN 46936-1630

Mailing address

217 Holiday Dr
Greentown, IN 46936-1630
Phone (765) 628-3235

Other identifiers 2

IdentifierTypeStateIssuer
000000531629OtherINANTHEM
200518130MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526001078 IN Practitioner - Qualified Audiologist 1052353216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Audiology Associates PCGroup PAC ID 3678465283, 26 clinicians

Practice addresses (Care Compare)

7823 Old State Rd
Suite 60
Sellersburg, IN 47172-1858
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Audiology Associates, P.C. Audiologist CurrentSince Sep 16, 2024 Accepting new patients
Mobile Audiology Associates, PC Audiologist CurrentSince Sep 16, 2024 Accepting new patients

Locations

7823 Old State Road 60
Sellersburg, IN 47172
Phone (812) 246-4272

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

Organizations & group practices 2

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1891758793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HOLIDAY DR",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361630",
            "telephone_number": "765-628-3235",
            "fax_number": "765-628-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HOLIDAY DR",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361630",
            "telephone_number": "765-628-3235",
            "fax_number": "765-628-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002368A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000531629",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200518130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greentown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.