Individual provider Active NPI

Kimberly Ann White, M.S.-CCC-A

  • Audiologist
  • Lighthouse Point, FL
National Provider Identifier
1285884064
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1132 Issued in FL
Practice address
3170 N Federal Hwy
Suite 208
Lighthouse Point, FL 33064-6700
Phone
(954) 943-9020
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1132 FL Primary

Addresses

Primary practice location

3170 N Federal Hwy
Suite 208
Lighthouse Point, FL 33064-6700

Mailing address

3170 N Federal Hwy
Suite 208
Lighthouse Point, FL 33064-6700
Phone (954) 943-9020

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
AY1132FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eargo Hearing, Inc. Current Accepting new patients
Eargo, Inc. Current Accepting new patients

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1285884064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "SUITE 208",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-943-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "SUITE 208",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-943-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S.-CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.