Active NPI
Kay Yanagisawa, M.S.
- Audiologist
- Waterbury, CT
National Provider Identifier
1285649616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 232
- Practice address
- 22 Tompkins St
Easter Seals
Waterbury, CT 06708-1459 - Phone
- (203) 754-5141
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 232 | CT | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 232 | CT |
Addresses
Primary practice location
22 Tompkins St
Easter Seals
Waterbury, CT 06708-1459
Mailing address
22 Tompkins St
Waterbury, CT 06708-1459
Phone (203) 754-5141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004039673 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Tompkins St
Waterbury, CT 06708-1459
Phone (203) 754-5141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seal Rehabilitation Center | Current | Accepting new patients | |
| Easter Seal Rehabilitation Center | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Westwood Ear Nose & Throat PC | Past | Accepting new patients | |
| Ahlbin Centers for Rehabilitation Medicine | Audiologist | Past | Accepting new patients |
| Bridgeport Hospital | Past | Accepting new patients |
Locations
22 Tompkins St
Waterbury, CT 06708
Phone (203) 419-0381
Organizations & group practices 5
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.
-
- Clinic/Center
- Waterbury, CT
- NPI 1497054316
-
- Hearing Aid Equipment
- Waterbury, CT
- NPI 1093884926
Audiologist-Hearing Aid Fitter
-
- Audiologist
- Bridgeport, CT
- NPI 1356494785
-
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
-
- Otolaryngology Physician
- Fall River, MA
- NPI 1356555213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1285649616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 TOMPKINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081459",
"telephone_number": "203-754-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 TOMPKINS ST",
"address_2": "EASTER SEALS",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081459",
"telephone_number": "203-754-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANAGISAWA",
"first_name": "KAY",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "232",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "232",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004039673",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.