Individual provider Active NPI

Kathryn Groves Whittle, AU.D.

  • Audiologist
  • Forney, TX
National Provider Identifier
1174975064
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80883 Issued in TX
Practice address
763 E US Highway 80
Suite 230
Forney, TX 75126-8633
Phone
(972) 771-5443
Fax
(972) 771-5444
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80883 TX Primary

Addresses

Primary practice location

763 E US Highway 80
Suite 230
Forney, TX 75126-8633

Mailing address

1320 Summer Lee Drive
Rockwall, TX 75032
Phone (972) 771-5443

Other names 1

  • Kathryn Kuykendall Former name

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

LicenseStateTypeSpecialty
80883TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Allergy ENT LLP CurrentSince Jun 1, 2019 Accepting new patients

Locations

763 E US Highway 80
Ste 230
Forney, TX 75126
Phone (945) 316-9356

1005 W Ralph Hall Pkwy
Ste 107
Rockwall, TX 75032
Phone (469) 769-1961

1320 Summer Lee Dr
Rockwall, TX 75032
Phone (972) 771-5443

2300 W FM 544
Ste 200
Wylie, TX 75098
Phone (972) 771-5443

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1174975064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SUMMER LEE DRIVE",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80",
            "address_2": "SUITE 230",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268633",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLE",
        "first_name": "KATHRYN",
        "middle_name": "GROVES",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KUYKENDALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.