Individual provider Active NPI

Katherine Claire Mikhailov, AUD

  • Audiologist
  • New York, NY
National Provider Identifier
1033469895
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
57002434 Issued in NY
Practice address
110 W 40TH St
Suite 1403
New York, NY 10018-3616
Phone
(212) 354-2360
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 57002434 NY Primary

Addresses

Primary practice location

110 W 40TH St
Suite 1403
New York, NY 10018-3616

Mailing address

110 W 40TH St
Suite 1403
New York, NY 10018-3616
Phone (212) 354-2360

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
57002434NYMDAudiologist
002434NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Hearing Associates, PLLC PastSince Jul 24, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1033469895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 40TH ST",
            "address_2": "SUITE 1403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183616",
            "telephone_number": "212-354-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 40TH ST",
            "address_2": "SUITE 1403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183616",
            "telephone_number": "212-354-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAILOV",
        "first_name": "KATHERINE",
        "middle_name": "CLAIRE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "57002434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.