Individual provider Active NPI

Katelyn Wolfe, AUD

  • Audiologist
  • Little River, SC
National Provider Identifier
1124698451
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD4186 Issued in SC
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

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Coastal Hearing Centers, Inc Audiologist CurrentSince Jun 25, 2021 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.

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 7 clinicians

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.

Verify at the official NPI Registry.