Corinne Boodoo, M.S, CCC-A, FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1772 Issued in GA

Practice address

2789 Clairmont Rd NE
Atlanta, GA 30329-2700

Phone

(770) 493-8430

Fax

(770) 493-8433

NPI assigned

Aug 23, 2006

Last updated

Sep 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Audiology at Home

  • Audiologist
  • Atlanta, GA
  • NPI 1477715902
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1972610327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 LAVISTA RD STE E390",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845162",
            "telephone_number": "770-493-8430",
            "fax_number": "770-493-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 CLAIRMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292700",
            "telephone_number": "770-493-8430",
            "fax_number": "770-493-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOODOO",
        "first_name": "CORINNE",
        "credential": "M.S, CCC-A, FAAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "1772",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "1772",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "1772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen W. Bonnie, M.D.
• Joanna M. Bonsall, M.D., PH.D.
• Janice Maame Bonsu, MD, MPH
• Ioana R. Bonta, MD
• Jennifer Bontrager, M.A., BCBA
• Mariel G Boohaker, PAAA
• Wendy M Book, MD
• Michelle Bookal
• Deja I. Booker
• Maranda Booker

• Audiologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.