Individual provider Active NPI

Kay Yanagisawa, M.S.

  • Audiologist
  • Waterbury, CT
National Provider Identifier
1285649616
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
232 Issued in CT
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

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004039673MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000071 CT Practitioner - Qualified Audiologist 4183786767 Reassigns benefits to 1 organization

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
Easter Seal Rehabilitation CenterGroup PAC ID 7416864178, 4 clinicians

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

LicenseStateTypeSpecialty
232CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seal Rehabilitation Center CurrentSince Jun 15, 2011 Accepting new patients
Easter Seal Rehabilitation Center Audiologist-Hearing Aid Fitter CurrentSince Jun 15, 2011 Accepting new patients
Westwood Ear Nose & Throat PC PastSince Jan 20, 2023 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.

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.

Verify at the official NPI Registry.