Kristin M Gordon

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1607-60 Issued in WI

Practice address

6220 Washington Ave Ste D
Mount Pleasant, WI 53406-3952

Phone

(262) 884-0600

NPI assigned

Mar 2, 2020

Last updated

Mar 2, 2020By 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 1

Addresses

Other names 1

• Kristin Mary Wendelken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1144854985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 RIVER PARK CIR E",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491023",
            "telephone_number": "262-352-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 WASHINGTON AVE STE D",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063952",
            "telephone_number": "262-884-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1607-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WENDELKEN",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen Goines, APNP
• Mary Goldbeck, LCSW
• Maria Gomez, MD
• Carolina Natasja Gonzalez
• Thomas Edward Goodrich, M.D.
• Thomas James Gorski, DDS
• Isabella Emily Gosda
• Lekesha Annette Grays
• Great Lakes Dermatology SC (Ascend Dermatology)
• Great Lakes Healthcare, Inc. (Preceptor Hospice South)

• Hearing Instrument Specialist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Hearing Instrument Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.