Active NPI
Kathryn M Thompson, M.A.
- Audiologist
- Waterloo, IA
National Provider Identifier
1144234220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 558
- Practice address
- 1753 W Ridgeway Ave Ste 111
Waterloo, IA 50701 - Phone
- (319) 833-5970
- Fax
- (319) 833-5971
- NPI assigned
- Jul 27, 2006
- Last updated
- Sep 14, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 558 | IA | Primary |
| Audiologist | 231H00000X | 147001127 | IL | |
| Hearing Instrument Specialist | 237700000X | 865 | IA |
Addresses
Primary practice location
1753 W Ridgeway Ave Ste 111
Waterloo, IA 50701
Mailing address
PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390
Other practice location 1
2710 Saint Francis Dr
Suite 411
Waterloo, IA 50702-5619
Phone (319) 272-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211928 | Other | IA | IOWA HEALTH SOLUTIONS |
| 0236778 | Medicaid | IA | |
| 05573 | Other | IA | NATIONAL EAR CARE PLAN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558 | IA | MD | Audiologist |
| 865 | IA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc | Past | Accepting new patients | |
| Northland Hearing Centers, Inc. | Past | Accepting new patients | |
| Quad Cities Audiology Consultants, P.C. | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hearing Unlimited
- Hearing and Speech Clinic/Center
- Sac City, IA
- NPI 1184174195
-
dba Hearing Unlimited
- Hearing and Speech Clinic/Center
- Webster City, IA
- NPI 1831474378
-
dba Audiology Consultants, P.C.
- Audiologist
- Davenport, IA
- NPI 1982624987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1144234220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2758",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042758",
"telephone_number": "319-235-5390",
"fax_number": "319-233-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 W RIDGEWAY AVE STE 111",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50701",
"telephone_number": "319-833-5970",
"fax_number": "319-833-5971"
}
],
"practiceLocations": [
{
"address_1": "2710 Saint Francis Dr",
"address_2": "SUITE 411",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507025619",
"country_code": "US",
"telephone_number": "319-272-5000",
"fax_number": "319-235-5360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "558",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001127",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IA",
"license": "865",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA HEALTH SOLUTIONS",
"identifier": "211928",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0236778",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL EAR CARE PLAN",
"identifier": "05573",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.