Individual provider Active NPI

Krystle Hanna Bove, AU.D.

  • Audiologist
  • Columbia, MD
National Provider Identifier
1134479975
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01257 Issued in MD
Practice address
5451 Beaverkill Rd
Columbia, MD 21044-2359
Phone
(410) 313-7046
Fax
(410) 313-7049
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001492 VA
Audiologist 231H00000X 01257 MD Primary

Addresses

Primary practice location

5451 Beaverkill Rd
Columbia, MD 21044-2359

Mailing address

5451 Beaverkill Rd
Columbia, MD 21044-2359
Phone (410) 313-7046

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Center for Hearing Inc Audiologist CurrentSince Apr 1, 2013 Accepting new patients
Vertigo Dizzy Clinic LLC Audiologist CurrentSince Apr 1, 2013 Accepting new patients

Locations

430 McLaws Cir
Ste 101
Williamsburg, VA 23185
Phone (757) 229-4004

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1134479975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 BEAVERKILL RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442359",
            "telephone_number": "410-313-7046",
            "fax_number": "410-313-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 BEAVERKILL RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442359",
            "telephone_number": "410-313-7046",
            "fax_number": "410-313-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVE",
        "first_name": "KRYSTLE",
        "middle_name": "HANNA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001492",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.