Individual provider Active NPI

Dorothy K Whittredge, MA

  • Audiologist
  • Wichita, KS
National Provider Identifier
1114563202
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
677 Issued in KS
Practice address
3084 N Maize Rd
Hac
Wichita, KS 67205-7359
Phone
(785) 409-1530
NPI assigned
Nov 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 503 KS
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 677 KS Primary

Addresses

Primary practice location

3084 N Maize Rd
Hac
Wichita, KS 67205-7359

Mailing address

1279 Road 310
Allen, KS 66833-9323
Phone (785) 409-1530

Other identifiers 2

IdentifierTypeStateIssuer
677OtherKSKS DEPARTMENT FOR AGING & DISABILITY SERVICES HEALTH OCCUPATIONS CREDENTIALING
503OtherKSKANSAS BOARD OF EXAMINERS IN THE FITTING AND DISPENSING OF HEARING INSTRUMENTS

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
677KSMDMarriage & Family Therapist
503KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1114563202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 ROAD 310",
            "city": "ALLEN",
            "state": "KS",
            "postal_code": "668339323",
            "telephone_number": "785-409-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 N MAIZE RD",
            "address_2": "HAC",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057359",
            "telephone_number": "785-409-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTREDGE",
        "first_name": "DOROTHY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "503",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "KS",
            "license": "677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS DEPARTMENT FOR AGING & DISABILITY SERVICES HEALTH OCCUPATIONS CREDENTIALING",
            "identifier": "677",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BOARD OF EXAMINERS IN THE FITTING AND DISPENSING OF HEARING INSTRUMENTS",
            "identifier": "503",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.