Individual provider Active NPI

Kyle W Lindholm

  • Audiologist
  • Fort Wainwright, AK
National Provider Identifier
1134279706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6327 Issued in NC
Practice address
Commander USA Meddac Ak McUc MMD Attn Credentials
1060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440
Phone
(907) 353-5418
Fax
(907) 353-4847
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6327 NC Primary

Addresses

Primary practice location

Commander USA Meddac Ak McUc MMD Attn Credentials
1060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440

Mailing address

Commander USA Meddac Ak McUc MMD Attn Credentials
1060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440
Phone (907) 353-5418

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
88AKMDNaturopath
6327NCMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134279706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS",
            "address_2": "1060 GAFFNEY RD STE 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS",
            "address_2": "1060 GAFFNEY RD STE 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDHOLM",
        "first_name": "KYLE",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "6327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wainwright, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.