Active NPI
Katelyn Wolfe, AUD
- Audiologist
- Little River, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD4186
- Practice address
- 3806 Sawtell Rd
Little River, SC 29566-7873 - Phone
- (843) 399-9950
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD4186 | SC | Primary |
Addresses
Primary practice location
3806 Sawtell Rd
Little River, SC 29566-7873
Mailing address
3806 Sawtell Rd
Little River, SC 29566-7873
Phone (843) 399-9950
Other practice location 1
2298 Ocean Hwy W
Supply, NC 28462-4024
Phone (910) 755-2428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210716000986 | SC | Practitioner - Qualified Audiologist | 5991107609 | Reassigns benefits to 1 organization |
| I20210929000285 | NC | Practitioner - Qualified Audiologist | 5991107609 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Hearing Centers, Inc | Audiologist | Current | Accepting new patients |
| Coastal Hearing Centers, Inc | Past | Accepting new patients |
Locations
2294 Ocean Hwy W
Supply, NC 28462
Phone (910) 368-4162
302 Liberty St
Whiteville, NC 28472
Phone (910) 642-3675
412 Main St
North Myrtle Beach, SC 29582
Phone (843) 281-0014
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 and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Little River, SC
- NPI 1629631650
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Hearing Centers, Inc
Practice addresses (Care Compare)
2294 Ocean Hwy W
Supply, NC 28462-4024
Phone (910) 368-4162
3806 Sawtell Rd
Little River, SC 29566-7873
Phone (843) 399-9950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1124698451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3806 SAWTELL RD",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295667873",
"telephone_number": "843-399-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3806 SAWTELL RD",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295667873",
"telephone_number": "843-399-9950"
}
],
"practiceLocations": [
{
"address_1": "2298 Ocean Hwy W",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284624024",
"country_code": "US",
"telephone_number": "910-755-2428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "KATELYN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "AUD4186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.