| Kristi A Petersen, AUD | |
|
4212 N 16th St, Phoenix, AZ 85016-5319 | |
| (602) 263-1200 | |
| Not Available |
| Full Name | Kristi A Petersen |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 4212 N 16th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548515406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 7584 (California) | Secondary |
| 231H00000X | Audiologist | DA9192 (Arizona) | Primary |
| Provider Name | Providence Speech & Hearing Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215993704 PECOS PAC ID: 5698686871 Enrollment ID: O20040130001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi A Petersen, AUD Pimc-pnc Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1200 | Kristi A Petersen, AUD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200 |
Dr. Kari Lynn Kuner, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1919 E Thomas Rd, Bldg C, Room 2240, Phoenix, AZ 85016 Phone: 602-546-4689 Fax: 602-546-4683 | |
Mrs. Linda Lee Nieb, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4510 N 37th Ave # Ave85019, Phoenix, AZ 85019 Phone: 602-336-2990 | |
Susan R Schmidt, AUD, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4004 N 7th St, Phoenix, AZ 85014 Phone: 602-265-9000 Fax: 602-528-1900 | |
Dr. Sara E Mclaws, AU.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2051 W Northern Ave, Suite 200, Phoenix, AZ 85021 Phone: 602-771-5243 Fax: 602-544-1704 | |
Mr. Gaylen L Reese, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 650 E Indian School Rd, Phoenix, AZ 85012 Phone: 602-277-5551 Fax: 602-222-6588 | |
Allison Sayer, Audiologist Medicare: Medicare Enrolled Practice Location: 1920 E Cambridge Ave, Phoenix, AZ 85006 Phone: 602-933-3277 Fax: 602-933-4326 | |
Dr. Ashley Geske, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0905 |