Kayla Marie Bishton, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001798 Issued in VA

Practice address

7484 Lee Davis Rd Ste 10
Mechanicsville, VA 23111-3678

Phone

(804) 789-1764

Fax

(804) 789-1762

NPI assigned

Jan 28, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1043801525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7484 LEE DAVIS RD STE 10",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113678",
            "telephone_number": "804-789-1764",
            "fax_number": "804-789-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7484 LEE DAVIS RD STE 10",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113678",
            "telephone_number": "804-789-1764",
            "fax_number": "804-789-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHTON",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2102003078",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.hanoveraudiology.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "7484 Lee Davis Rd Ste 10",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231113678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Audiologist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.