Kaci M Wathen, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

120 N Eagle Creek Dr
Lexington, KY 40509-1827

Phone

(859) 629-7140

Fax

(859) 629-7137

NPI assigned

May 13, 2018

Last updated

Apr 2, 2024By the provider in NPPES

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 names 1

• Kaci Edwards Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Hearing and Speech Center Inc.Group PAC ID 7618103177, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaciwathen@kysjhspe.allscriptsdirect.net

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.

• Lexington Hearing and Speech Center Inc.

  • Audiologist
  • Lexington, KY
  • NPI 1265560973
  Medicare reassignment Care Compare group NPD
• Ear Nose and Throat Specialists PLLC

  • Otolaryngology Physician
  • Georgetown, KY
  • NPI 1154331387
  Medicare reassignment NPD
• Saint Joseph Health System Inc

  dba Saint Joseph ENT Center

  • Otolaryngology Physician
  • London, KY
  • NPI 1134553902

  Audiologist

  Medicare reassignment NPD
• Lexington Hearing and Speech Center Inc.

  dba The Hearing & Speech Center

  • Speech-Language Pathologist
  • Lexington, KY
  • NPI 1164154662
  NPD
• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD
• Saint Joseph Health System, Inc.

  dba Saint Joseph Primary Care Associates Corbin - RHC

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1285301234
  NPD

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1144710419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091868",
            "telephone_number": "859-629-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-629-7140",
            "fax_number": "859-629-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATHEN",
        "first_name": "KACI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACI",
            "last_name": "EDWARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lesley Colleen Waters-Kellar, DO
• Anna Ruth Waters, MS CF SLP
• Christine Waters, ATC
• David Waters, LCSW, LCADC
• Elizabeth Ashley Waters, MA, MS, CCC-SLP
• Katherine Calloway Wathen
• Melissa Lynn Watkins-Henson
• Bryce Watkins, MSSW, CSW
• Caleb Lee Watkins, LPCC
• Courtney Nicole Watkins, MSOT, OTR/L

• Audiologist-Hearing Aid Fitter in Lexington, KY
• Providers in Lexington, KY by specialty
• Audiologist-Hearing Aid Fitter in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.