DR. CARLA J PETERSEN (NPI# 1003162785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003162785 |
| Entity Type | Individual |
| Full Name | DR. CARLA J PETERSEN |
| Credential | AU.D., CCC-A |
| Practice Address |
243 Charles St Audiology Department Boston MA 02114-3002 |
| Practice Telephone | 6175733266 |
| Practice Fax Number | 6175733023 |
| Mailing Telephone | 6175733266 |
| Mailing Fax Number | 6175733023 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 990 | MA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184776122 | Carla Ann Petersen | Social Worker | Alliance for Community Care Service Team Adult Outpatie, 2001 The Alameda, San Jose, CA 95126-1136 | 2007-01-18 |
| Street Address |
243 CHARLES ST AUDIOLOGY DEPARTMENT |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538160452 | John M. Dobrowski | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-08-02 |
| 1275133829 | Caroline Burns | Registered Nurse | 243 Charles St, Boston, MA 02114-3002 | 2020-10-31 |
| 1831796440 | Jenna Goldstein | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-10-06 |
| 1700483336 | Eileen Lancaster | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-10-06 |
| 1104432913 | Adelia Witt | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-09-17 |
| 1063027084 | Emily M Kucher | Student in an Organized Health Care Education/Training Program | 243 Charles St, Boston, MA 02114-3002 | 2020-09-15 |
| 1144832007 | Zoe Stern | Registered Nurse | 243 Charles St, Boston, MA 02114-3002 | 2020-08-20 |
| 1265058085 | Elizabeth Chandler Smith | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-06-17 |
| 1801411244 | Emma Rose Alscher | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-06-11 |
| 1639792997 | Donna Evelyn Green | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111498 | Alyssa Marie Smith | Audiologist | 100 Pier 4 Blvd Unit 1703, Boston, MA 02210-1966 | 2020-10-16 |
| 1356836837 | Kathryn Sheehan | Audiologist | 243 Charles St Fl 2, Boston, MA 02114-3002 | 2018-06-26 |
| 1942559141 | Lauren Michelle Seafert | Audiologist | 860 Washington St, Boston, MA 02111-1521 | 2012-09-04 |
| 1255665816 | Audrey E Winans | Audiologist | 800 Washington St # 823, Boston, MA 02111-1552 | 2009-09-29 |
| 1457517401 | Sandra S Cleveland | Audiologist | 30 Leon Street, 503 Behrakis Health Sciences Center, Boston, MA 02115-5000 | 2008-07-30 |
| 1538329685 | Laura Beth O'brien | Audiologist | 300 Longwood Ave # Lo-367, Boston, MA 02115-5724 | 2008-06-12 |
| 1457527541 | Nicole R Laffan | Audiologist | 503 Berhakis Building, 30 Leon St, Boston, MA 02115 | 2008-05-08 |
| 1306963574 | Patricia Murphy Mauceri | Audiologist | 30 Leon St, 503 Behrakis Center At Northeastern University, Boston, MA 02115-5009 | 2007-03-23 |
| 1952325748 | Karen Ann Rowan | Audiologist | 150 So. Huntington Ave., 126, Boston, MA 02130 | 2006-07-26 |
| 1831796440 | Jenna Goldstein | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-10-06 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.