Active NPI
Karyn K Hodge, AUD
- Audiologist
- Murray, UT
National Provider Identifier
1043739667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8297024-4101
- Practice address
- 4500 So. 777. E. Ste #110
Murray, UT 84107 - Phone
- (801) 268-6497
- NPI assigned
- Sep 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 8297024-4101 | UT | Primary |
Addresses
Primary practice location
4500 So. 777. E. Ste #110
Murray, UT 84107
Mailing address
4500 So. 777. E. Suite #110
Murray, UT 84107
Phone (801) 268-6497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8297024-4101 | UT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Hearing and Speech | Single Specialty | Past | Accepting new patients |
Networks
- UT PPO
- UT PPO D-SNP
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
- Salt Lake City, UT
- NPI 1245536101
-
- Audiologist-Hearing Aid Fitter
- Salt Lake City, UT
- NPI 1700902376
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1043739667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SO. 777. E. SUITE #110",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-268-6497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SO. 777. E. STE #110",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-268-6497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "KARYN",
"middle_name": "K",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "UT",
"license": "8297024-4101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.