Active NPI
Kristal Calloway, AUDIOLOGIST
- Audiologist
- Visalia, CA
National Provider Identifier
1194999557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU748
- Practice address
- 5400 W Hillsdale Ave
Visalia, CA 93291-8222 - Phone
- (559) 738-7500
- NPI assigned
- Apr 16, 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 | AU748 | CA | Primary |
Addresses
Primary practice location
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Mailing address
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU748 | Other | CA | LICENSE |
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 |
|---|---|---|---|
| AU748 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1194999557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 W HILLSDALE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918222",
"telephone_number": "559-738-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W HILLSDALE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918222",
"telephone_number": "559-738-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLOWAY",
"first_name": "KRISTAL",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AU748",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.