Active NPI
Kevin J Whritenour, AU.D
- Audiologist
- San Antonio, TX
National Provider Identifier
1265503924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50892
- Practice address
- 8227 Fredericksburg Rd
San Antonio, TX 78229-3356 - Phone
- (210) 616-0889
- Fax
- (210) 614-0144
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 50892 | TX | Primary |
Addresses
Primary practice location
8227 Fredericksburg Rd
San Antonio, TX 78229-3356
Mailing address
8227 Fredericksburg Rd
San Antonio, TX 78229-3356
Phone (210) 616-0889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 517603 | Other | TX | BCBS PIN |
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 |
|---|---|---|---|
| 50892 | TX | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265503924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8227 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293356",
"telephone_number": "210-616-0889",
"fax_number": "210-614-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293356",
"telephone_number": "210-616-0889",
"fax_number": "210-614-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHRITENOUR",
"first_name": "KEVIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "517603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
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- Wholesomeness Home Health Care Services Inc.
- Michael Henry Wholey, MD
- Beverly Ann Wiatrek, O.D.
- Kirsten Leigh Wiatrek
- Zachary Austin Wiberg, DO
- Keith Allen Wichinski, MSN, PMC,FNP-C, RN
- Beth Ann Wichman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.