Kaitlyn Elizabeth Gervais, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD61320760 Issued in WA

Practice address

1940 116TH Ave NE Ste 103
Bellevue, WA 98004-3011

Phone

(800) 500-8243

Fax

(253) 759-2988

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlyn.gervais.p46@direct.proliance.nextgenshare.com

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 by Design, Inc

  • Hearing Aid Equipment
  • Tacoma, WA
  • NPI 1174715015

  Audiologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1134868532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S UNION AVE # 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051959",
            "telephone_number": "800-500-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043011",
            "telephone_number": "800-500-8243",
            "fax_number": "253-759-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61320760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217051",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nolan L Gerlach, D.D.S
• Joshua Gary Germain, MA, LMHCA
• Katherine Ruth German, RN
• Gerri T Therapy, PLLC
• Michelle Gersuk
• Nicolette Roseli Gervasi, DDS
• Denise Leslie Gervis, LICSW
• Sana Gharabaghian, PA-C
• Asha Gharib
• Salma F Gharib, M.D.

• Audiologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.