Individual provider Active NPI

Kelsee Lothes, AUD

  • Audiologist
  • Port Orange, FL
National Provider Identifier
1235855503
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1680 Dunlawton Ave
Port Orange, FL 32127-4754
Phone
(386) 756-8225
Fax
(386) 767-0742
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1680 Dunlawton Ave
Port Orange, FL 32127-4754

Mailing address

1680 Dunlawton Ave
Port Orange, FL 32127-4754
Phone (386) 756-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301001252 FL Practitioner - Qualified Audiologist 2264805837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Hearing Clinic, Inc.Group PAC ID 7810013034, 3 clinicians

Practice addresses (Care Compare)

1835 US Hwy 1 S
Suite 121
St Augustine, FL 32084-4276
Phone (904) 824-6007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Hearing Clinic, Inc. Audiologist CurrentSince May 5, 2025 Accepting new patients
Deborah R. Zarajczyk, Ma and Associates, PA Past Accepting new patients
A1A Family Eyecare PastSince May 5, 2025 Accepting new patients

Locations

290 Clyde Morris Blvd
Ste C1
Ormond Beach, FL 32174
Phone (386) 677-2366

50 Cypress Point Pkwy
Ste B3
Palm Coast, FL 32164
Phone (386) 447-7364

1835 US Highway 1 S
Ste 121
St Augustine, FL 32084
Phone (904) 824-0212

Organizations & group practices 3

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1235855503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274754",
            "telephone_number": "386-756-8225",
            "fax_number": "386-767-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274754",
            "telephone_number": "386-756-8225",
            "fax_number": "386-767-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTHES",
        "first_name": "KELSEE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.