Kimberly S Keessen, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000193 Issued in MI

Practice address

941 W Broadway Ave
Muskegon, MI 49441-3521

Phone

(231) 755-0552

Fax

(231) 755-0560

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkeessen216135@epic00.corewelldirect.org

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.

• Shoreline Hearing Center LLC

  • Audiologist-Hearing Aid Fitter
  • Muskegon, MI
  • NPI 1538430236
  Medicare reassignment NPD Authorized official
• Michigan Ear, Nose, Throat, and Allergy Specialists, PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Holland, MI
  • NPI 1780029991

  Audiologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1083786933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 W BROADWAY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413521",
            "telephone_number": "231-755-0552",
            "fax_number": "231-755-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 W BROADWAY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413521",
            "telephone_number": "231-755-0552",
            "fax_number": "231-755-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESSEN",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "64-0F10164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Jawor DO PLLC
• Mark Charles Kaufman, M.A.
• John David Kaurich, M.D.
• Mary Alexanderia Keely, PA-C
• Stephanie A Keenan, LMSW
• Charles Hobart Keever III, D.D.S.
• Caitlin Keglovitz, LLMSW
• Toni Keglovitz
• Katherine Gross Keller, D.O.
• Chelsea Claire Kelley, LLMSW

• Audiologist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.