Individual provider Active NPI

Kayleigh Putnam, AU.D.

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1093492589
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-3624 Issued in NV
Practice address
501 S Rancho Dr Ste A8
Las Vegas, NV 89106-4871
Phone
(702) 605-9133
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-3624 NV Primary

Addresses

Primary practice location

501 S Rancho Dr Ste A8
Las Vegas, NV 89106-4871

Mailing address

501 S Rancho Dr Ste A8
Las Vegas, NV 89106-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905001370 NV Practitioner - Qualified Audiologist 0547623829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Hearing and Balance Center LLCGroup PAC ID 5092842393, 5 clinicians

Practice addresses (Care Compare)

1742 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-4915
Phone (702) 896-0031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-3624NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Hearing & Balance Center LLC Audiologist CurrentSince Jan 17, 2026 Accepting new patients
Desert Valley Audiology, LLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

1742 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 896-0031

2850 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 279-6704

501 S Rancho Dr
Ste A8
Las Vegas, NV 89106
Phone (702) 383-5115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1093492589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE A8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE A8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064871",
            "telephone_number": "702-605-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "KAYLEIGH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-3624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.