Individual provider Active NPI

Kaytee Nicole Latzke, AUD

  • Audiologist
  • Edmond, OK
National Provider Identifier
1265325617
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6488 Issued in OK
Practice address
3824 S Boulevard Ste 110
Edmond, OK 73013-5779
Phone
(405) 546-4280
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6488 OK Primary

Addresses

Primary practice location

3824 S Boulevard Ste 110
Edmond, OK 73013-5779

Mailing address

3824 S Boulevard Ste 110
Edmond, OK 73013-5779
Phone (405) 546-4280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250712000319 OK Practitioner - Qualified Audiologist 2668987306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Otolaryngology Hearing Center IncGroup PAC ID 5496998627, 8 clinicians

Practice addresses (Care Compare)

3824 S Boulevard
Suite 110
Edmond, OK 73013-5779
Phone (405) 562-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6488OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Hearing Center Inc Audiologist CurrentSince Jun 1, 2025 Accepting new patients
Oklahoma Otolaryngology Associates, LLC Past Accepting new patients

Locations

3824 S Boulevard
Ste 110
Edmond, OK 73013
Phone (405) 513-8811

3650 W Rock Creek Rd
#110B
Norman, OK 73072
Phone (405) 755-1930

Organizations & group practices 2

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1265325617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S BOULEVARD STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135779",
            "telephone_number": "405-546-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S BOULEVARD STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135779",
            "telephone_number": "405-546-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATZKE",
        "first_name": "KAYTEE",
        "middle_name": "NICOLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.