Individual provider Active NPI

Catherine Anne Fabian, AU.D.

  • Audiologist
  • Evanston, IL
National Provider Identifier
1891947727
Registry record updated Nov 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-001290 Issued in IL
Practice address
2315 Campus Dr
Evanston, IL 60208
Phone
(847) 491-3165
Fax
(847) 467-7141
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2710-AU CA
Assistive Technology Practitioner Audiologist 231HA2400X 147-001290 IL
Assistive Technology Supplier Audiologist 231HA2500X 147-001290 IL
Audiologist-Hearing Aid Fitter 237600000X 147-001290 IL
Audiologist 231H00000X 147-001290 IL Primary

Addresses

Primary practice location

2315 Campus Dr
Evanston, IL 60208

Mailing address

2315 Campus Dr
Evanston, IL 60208-0897
Phone (847) 491-3165

Other practice location 1

991 Lomas Santa Fe Dr Ste A
Solana Beach, CA 92075-2141
Phone (858) 863-6827

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
2710CAMDFamily Medicine Physician
2710-AUCAMDAudiologist
147-001290ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern University Audiology Clinic Audiologist Past Accepting new patients
Northwest Speech and Hearing Center LTD. Audiologist PastSince Apr 18, 2005 Accepting new patients
Synapse Advanced Audiology, Inc. Audiologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1891947727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CAMPUS DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602080897",
            "telephone_number": "847-491-3165",
            "fax_number": "847-467-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CAMPUS DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60208",
            "telephone_number": "847-491-3165",
            "fax_number": "847-467-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 Lomas Santa Fe Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Solana Beach",
            "state": "CA",
            "postal_code": "920752141",
            "country_code": "US",
            "telephone_number": "858-863-6827",
            "fax_number": "858-630-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "2710-AU",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IL",
            "license": "147-001290",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IL",
            "license": "147-001290",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147-001290",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-001290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; 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.