Active NPI
Kathryn M Olsen, AU.D.
- Audiologist
- Brookfield, WI
National Provider Identifier
1003027210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 35-156
- Practice address
- 12780 W North Ave
Suite B
Brookfield, WI 53005-4601 - Phone
- (262) 784-9300
- NPI assigned
- May 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 35-156 | WI | Primary |
Addresses
Primary practice location
12780 W North Ave
Suite B
Brookfield, WI 53005-4601
Mailing address
12780 W. North Avenue
Suite B
Brookfield, WI 53005
Phone (262) 784-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 | WI | MD | Athletic Trainer |
| 35-156 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becker Audiology SC | Past | Accepting new patients | |
| Family Hearing Care, LLC | Audiologist | Past | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Waukesha, WI
- NPI 1710915459
-
- Audiologist
- West Bend, WI
- NPI 1811937428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1003027210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12780 W. NORTH AVENUE",
"address_2": "SUITE B",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53005",
"telephone_number": "262-784-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12780 W NORTH AVE",
"address_2": "SUITE B",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054601",
"telephone_number": "262-784-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-28",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "35-156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.