Individual provider Active NPI

Katherine Lynn Awoyinka, AU.D.

  • Audiologist
  • Maple Grove, MN
National Provider Identifier
1013463876
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
9424 Issued in MN
Practice address
9825 Hospital Drive
Suite LL-10
Maple Grove, MN 55369-4819
Phone
(612) 339-2836
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 9424 MN Primary

Addresses

Primary practice location

9825 Hospital Drive
Suite LL-10
Maple Grove, MN 55369-4819

Mailing address

9825 Hospital Drive
Suite LL-10
Maple Grove, MN 55369-4819

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

LicenseStateTypeSpecialty
9424MNMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1013463876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DRIVE",
            "address_2": "SUITE LL-10",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DRIVE",
            "address_2": "SUITE LL-10",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694819",
            "telephone_number": "612-339-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOYINKA",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "9424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.