Caroline J Kerr, M.S., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AUD1215 Issued in ID

Practice address

4155 Yellowstone Ave
Pine Ridge Mall
Pocatello, ID 83202-2345

Phone

(208) 238-0020

Fax

(208) 238-0021

NPI assigned

Nov 16, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1154494037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 YELLOWSTONE AVE",
            "address_2": "PINE RIDGE MALL",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022345",
            "telephone_number": "208-238-0020",
            "fax_number": "208-238-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 YELLOWSTONE AVE",
            "address_2": "PINE RIDGE MALL",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022345",
            "telephone_number": "208-238-0020",
            "fax_number": "208-238-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "CAROLINE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ID",
            "license": "AUD1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ID",
            "identifier": "000010150424",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "AU373",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "000010137942",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Kennedy, M.D.
• Kenneth P. Lindsey, PHD, PA
• Amie Beth Kenyen, NP-C
• Serene Kergaye, DO
• Terry Jeanne Kerler, LPC
• Darcy Cameron Kerr, L.D. (LICENSED DENTU
• Patti Ann Kerscher
• Naeha Keshav
• Key Performance and Wellness LLC
• Keymed Inc

• Audiologist-Hearing Aid Fitter in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Audiologist-Hearing Aid Fitter in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.