Active NPI
Kathleen D. Dreher
- Audiologist
- Mystic, CT
National Provider Identifier
1013051952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000253
- Practice address
- 14 Masons Island Rd
Suite 2B
Mystic, CT 06355-2958 - Phone
- (860) 536-3078
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 8, 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 | 000253 | CT | Primary |
Addresses
Primary practice location
14 Masons Island Rd
Suite 2B
Mystic, CT 06355-2958
Mailing address
68 High Ridge Dr
Pawcatuck, CT 06379-1237
Phone (860) 599-3833
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 |
|---|---|---|---|
| 000253 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Audiology, LLC | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013051952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 HIGH RIDGE DR",
"city": "PAWCATUCK",
"state": "CT",
"postal_code": "063791237",
"telephone_number": "860-599-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MASONS ISLAND RD",
"address_2": "SUITE 2B",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552958",
"telephone_number": "860-536-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREHER",
"first_name": "KATHLEEN",
"middle_name": "D.",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.