Katherine Frericks, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

088919 Issued in IA

Practice address

1010 N Broadway St Ste a
Red Oak, IA 51566-1461

Phone

(712) 623-4802

NPI assigned

Nov 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (5 of 7)

Locations

Networks

• IA HMO
• IA HMO C-SNP

Interoperability endpoints

• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177

  MO

  Medicare reassignment NPD
• St Lukes Hospital of Kansas City

  • Specialty Pharmacy
  • Kansas City, MO
  • NPI 1588457923
  NPD
• St. Luke'S Hospital of Kansas City

  • Hearing and Speech Clinic/Center
  • Kansas City, MO
  • NPI 1881108686
  NPD
• Larry Kent & Associates

  • Audiologist
  • Omaha, NE
  • NPI 1164886677
  NPD (past)
• St Lukes Hospital of Kansas City

  • Rehabilitation Hospital Unit
  • Kansas City, MO
  • NPI 1457333593
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053592907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BROADWAY ST STE A",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661461",
            "telephone_number": "712-623-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BROADWAY ST STE A",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661461",
            "telephone_number": "712-623-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Park St",
            "address_2": "SC2",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012529",
            "country_code": "US",
            "telephone_number": "217-383-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRERICKS",
        "first_name": "KATHERINE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001255",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "089609",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "088919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0533210001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Dorrance, MSW, LISW
• Dr. Robert H. Sharp, P.C.
• Patricia Anderson Dunbar, MSW
• Eye Care Associates of Co, LLC
• Kyle Joseph Fonken, DDS
• Blake Friday, OTD
• Emily Kaye Furst, MS, RD, LD
• Terry J Gillespie, DDS
• Eduard Grass Garcia, MD
• Jacqueline M. Harms, R.PH.

• All providers in Red Oak, IA
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.