Kathryn Phillippe

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2016023478 Issued in MO

Practice address

4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606

Phone

(636) 685-8250

NPI assigned

Jul 11, 2016

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Odonoghue Former name

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1013369396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 YORKTOWN DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036439",
            "telephone_number": "217-737-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 EXECUTIVE CENTRE PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761606",
            "telephone_number": "636-685-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPPE",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2016023478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ODONOGHUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert H Peterson, DDS
• Sheri Lynn Petruso, MSW, LCSW
• Caitlin Amanda Petry, MSN, FNP-C
• Erik Michael Peyton
• Calvin Pham, DPT
• Brittania Rene Phillips, DNP, APRN
• Heather E Phillips, AUD
• Marinda Dawn Phillips, BCBA
• Gilbert L Phon, AU.D., FAAA
• Physical Therapy Spine & Sports Medicine LLC

• All providers in Saint Peters, MO
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.