Kari A Wickstrom, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

267988 Issued in KY

Practice address

116 Meridian Way Ste 1
Richmond, KY 40475-2876

Phone

(859) 623-4458

Fax

(859) 623-4459

NPI assigned

May 24, 2018

Last updated

Mar 24, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Cincinnati College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Hearing Clinic, LLCGroup PAC ID 2961646864, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bluegrass Hearing Clinic, LLC

  • Assistive Technology Practitioner Audiologist
  • Richmond, KY
  • NPI 1942489976
  Medicare reassignment Care Compare group
• Johnson Audiology

  • Hearing Aid Equipment
  • Cartersville, GA
  • NPI 1245579986
  NPD

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1104317221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203507",
            "telephone_number": "770-334-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MERIDIAN WAY STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752876",
            "telephone_number": "859-623-4458",
            "fax_number": "859-623-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 John Sutherland Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403562424",
            "country_code": "US",
            "telephone_number": "859-885-0150",
            "fax_number": "859-885-0175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKSTROM",
        "first_name": "KARI",
        "middle_name": "A",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "267988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaella White
• Devin Miles Whitehead, APRN
• Deborah Clare Whitehouse, PSYCHIATRIC ARNP
• Jennifer Lynn Whittington, APRN
• Wholehearted Therapy LLC
• Levi Wiggins
• Melissa Ann Wilder
• Andrea Baylen Wiles, OTRL AND BCBA
• Timothy D Wiley, DMD
• Anthony Wilkerson

• Audiologist in Richmond, KY
• Providers in Richmond, KY by specialty
• Audiologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.