Kortney Mathiesen, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU3820 Issued in CA

Practice address

457 Sutton Way
Grass Valley, CA 95945-4102

Phone

(530) 477-8114

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Pacific University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kimberly Bonney Aud IncGroup PAC ID 3870622061, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kimberly Bonney Aud, Inc

  • Audiologist-Hearing Aid Fitter
  • Grass Valley, CA
  • NPI 1710201710
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1295501286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARGARET LN STE C",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454207",
            "telephone_number": "530-477-8114",
            "fax_number": "530-477-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 SUTTON WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454102",
            "telephone_number": "530-477-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIESEN",
        "first_name": "KORTNEY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Natalie Martinez, LCSW
• Kenneth S Marvin, MD
• Peter J Marvin
• Andrea Mascorro
• Tatiana Mata
• Barbara Kay Matiska
• Jonathon Patrick Matousek
• Lisa Matson
• Margaret Yen-Chuang Matthews, P.T.
• Jamie Blake Maxwell, LMFT

• Audiologist-Hearing Aid Fitter in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.