Kathryn Arielle Vlietstra Baker, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001837 Issued in VA

Practice address

4772 Euclid Rd Ste C
Virginia Beach, VA 23462-3800

Phone

(757) 272-1694

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Arielle Vlietstra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1265002109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WINDHAM RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054822",
            "telephone_number": "920-946-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 EUCLID RD STE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623800",
            "telephone_number": "757-272-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATHRYN",
        "middle_name": "ARIELLE VLIETSTRA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "VLIETSTRA",
            "middle_name": "ARIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brennan Baker, PMHNP
• Daryl O. Baker
• Everdna L Baker, LPN
• Jennifer R Baker, NP
• Kate Baker
• Kathy Ann Baker, L.P.C.
• Megan Nicole Baker
• Samantha Paige Baker, LPC
• Selena Baker, LPC
• Shenekia M Baker, RVT

• All providers in Virginia Beach, VA
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.