Active NPI
Kathleen Taylor Hietpas, AU.D.
- Audiologist-Hearing Aid Fitter
- Odessa, TX
National Provider Identifier
1063597367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 51342
- Practice address
- 2481 E 11TH St
Odessa, TX 79761-4232 - Phone
- (432) 335-9514
- Fax
- (432) 335-0906
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
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-Hearing Aid Fitter | 237600000X | 51342 | TX | Primary |
Addresses
Primary practice location
2481 E 11TH St
Odessa, TX 79761-4232
Mailing address
2481 E 11TH St
Odessa, TX 79761-4232
Phone (432) 335-9514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T0617 | Other | TX | BC/BS PROVIDER # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51342 | TX | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1063597367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2481 E 11TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614232",
"telephone_number": "432-335-9514",
"fax_number": "432-335-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2481 E 11TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614232",
"telephone_number": "432-335-9514",
"fax_number": "432-335-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIETPAS",
"first_name": "KATHLEEN",
"middle_name": "TAYLOR",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "51342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "8T0617",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.