Individual provider Active NPI

Kevin George Burkitt, AUD

  • Audiologist
  • Painesville, OH
National Provider Identifier
1285630046
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02301 Issued in OH
Practice address
1701 Mentor Ave Ste 5
Painesville, OH 44077-1459
Phone
(440) 357-4327
Fax
(440) 357-4328
NPI assigned
Jun 24, 2005
Last updated
May 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000339 MI
Audiologist 231H00000X A.02301 OH Primary

Addresses

Primary practice location

1701 Mentor Ave Ste 5
Painesville, OH 44077-1459

Mailing address

1701 Mentor Ave Ste 5
Painesville, OH 44077-1459
Phone (440) 357-4327

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

LicenseStateTypeSpecialty
A.02301OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryanns Family Hearing LLC Audiologist CurrentSince Apr 25, 2022 Accepting new patients
Hearing Innovations Centre Audiologist PastSince Jan 1, 1990 Accepting new patients

Locations

1701 Mentor Ave
Ste 5
Painesville, OH 44077
Phone (440) 357-4327

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1285630046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MENTOR AVE STE 5",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771459",
            "telephone_number": "440-357-4327",
            "fax_number": "440-357-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MENTOR AVE STE 5",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771459",
            "telephone_number": "440-357-4327",
            "fax_number": "440-357-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKITT",
        "first_name": "KEVIN",
        "middle_name": "GEORGE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000339",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.