Active NPI
Caitlin Patrice Robertson, AU.D.
- Audiologist
- Norwalk, OH
National Provider Identifier
1902215601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.02236
- Practice address
- 272 Benedict Ave
Norwalk, OH 44857-2374 - Phone
- (419) 660-2700
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1887 | FL | |
| Audiologist | 231H00000X | A.02236 | OH | Primary |
Addresses
Primary practice location
272 Benedict Ave
Norwalk, OH 44857-2374
Mailing address
272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 660-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY1887 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Nova Southeastern College of Osteo Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Clint Moore Rd
Suite 105
Boca Raton, FL 33487-5712
Phone (561) 391-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1887 | FL | MD | Audiologist |
| A.02236 | OH | MD | Audiologist |
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.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
-
- Specialist
- Greenville, NC
- NPI 1912957606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1902215601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 BENEDICT AVE",
"city": "NORWALK",
"state": "OH",
"postal_code": "448572374",
"telephone_number": "419-660-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 BENEDICT AVE",
"city": "NORWALK",
"state": "OH",
"postal_code": "448572374",
"telephone_number": "419-660-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "CAITLIN",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1887",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.02236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AY1887",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.