Active NPIIndividual provider

Mrs. Kristin L Eidam, MS, CCC-A

Audiologist in Wakefield, Rhode Island

NPI Number1477711562
Practice location
116 Main St, Wakefield, RI 02879-3566
Fax
401-782-4994
Last updated
September 10, 2014

Kristin Linnea Eidam is an Audiologist based in Wakefield, RI. Kristin Linnea Eidam practices in Wakefield, RI and has the professional credentials of MS, CCC-A. The NPI Number for Kristin Linnea Eidam is 1477711562 and holds a License No. AUD00176 (RI). The current practice location address for Kristin Linnea Eidam is 116 Main St, Wakefield, RI 02879-3566 and can be reached out via phone at 401-782-4400 and via fax at 401-782-4994.

Provider Profile Details

NPI Number
1477711562
Provider Name
Kristin Linnea Eidam
Credential
MS, CCC-A
Provider Entity Type
Individual
Gender
Female
Address
116 Main St, Wakefield, RI 02879-3566
Phone Number
401-782-4400
Fax Number
401-782-4994
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2008
Last Update Date
September 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
116 Main St
Wakefield, RI 02879-3566
Zip
02879-3566
Phone Number
401-782-4400
Fax Number
401-782-4994
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
116 Main St
Wakefield, RI 02879-3566
City
Wakefield
State
RI
Zip
02879-3566
Phone Number
401-782-4400
Fax Number
401-782-4994

License Information

License Number
AUD00176
License State
RI
Taxonomy
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kristin L Eidam, MS, CCC-A?

The NPI number of Mrs. Kristin L Eidam, MS, CCC-A is 1477711562. It was assigned on May 27, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kristin L Eidam, MS, CCC-A?

Mrs. Kristin L Eidam, MS, CCC-A is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in RI under license number AUD00176.

Where does Mrs. Kristin L Eidam, MS, CCC-A practice?

The practice location is 116 Main St, Wakefield, RI 02879-3566. The office can be reached at 401-782-4400 (phone) or 401-782-4994 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477711562 directly on the NPPES registry website.

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