Active NPI
Kathryn A Engelhardt, AUD.
- Audiologist
- Green Bay, WI
National Provider Identifier
1154584035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 636-156
- Practice address
- 923 Eliza St
Green Bay, WI 54301-3234 - Phone
- (920) 965-4800
- Fax
- (920) 964-4801
- NPI assigned
- Jul 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 636-156 | WI | Primary |
Addresses
Primary practice location
923 Eliza St
Green Bay, WI 54301-3234
Mailing address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7226
Other practice location 1
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 894 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Affiliates of Hear Better, Inc | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- Worcester, MA
- NPI 1548316011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1154584035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 ELIZA ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013234",
"telephone_number": "920-965-4800",
"fax_number": "920-964-4801"
}
],
"practiceLocations": [
{
"address_1": "2820 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433834",
"country_code": "US",
"telephone_number": "715-735-5252",
"fax_number": "715-735-5388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGELHARDT",
"first_name": "KATHRYN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "AUD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "636-156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.