NPIMap

Organization Active NPI

Audiology Concepts, LLC

  • Audiologist
  • Duluth, MN
National Provider Identifier
1104551712
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY CONCEPTS, LLC
Practice address
4905 Matterhorn Dr
Duluth, MN 55811-3851
Phone
(218) 723-7880
Fax
(218) 723-8208
NPI assigned
Jul 18, 2022
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AUDIOLOGY CONCEPTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Karri Kiefat
Title
Director of Operations
Phone
(218) 723-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

4905 Matterhorn Dr
Duluth, MN 55811-3851

Mailing address

7380 France Ave S Ste 200
Edina, MN 55435-4506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170725003036 MN Part B Supplier - Clinic/Group Practice 9830469766 Receives reassigned benefits from 11 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burnsville, MN; Cambridge, MN; Duluth, MN; Edina, MN; Forest Lake, MN; Grand Rapids, MN

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Audiology Concepts LLC7 organizations share this tax ID, including this one
Part of
Audiology Concepts LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14050 Nicollet Ave
Ste 200
Burnsville, MN 55337
Phone (952) 303-5895

1001 1st Ave E
Ste 110
Cambridge, MN 55008
Phone (763) 689-2121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1104551712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 MATTERHORN DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113851",
            "telephone_number": "218-723-7880",
            "fax_number": "218-723-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CONCEPTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUDIOLOGY CONCEPTS, LLC",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "KIEFAT",
        "authorized_official_first_name": "KARRI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "218-723-7880"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.