Active NPI
Cassandra Kinney, AU.D.
- Audiologist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 9604 Coldwater Rd Ste 103
Fort Wayne, IN 46825-2096 - Phone
- (765) 686-9588
- NPI assigned
- Jun 15, 2020
- 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-Hearing Aid Fitter | 237600000X | |||
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
9604 Coldwater Rd Ste 103
Fort Wayne, IN 46825-2096
Mailing address
12065 Old Meridian St Ste 205
Carmel, IN 46032-8777
Phone (317) 705-2700
Other names 1
- Cassandra Dillard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7823 Old State Rd
Suite 60
Sellersburg, IN 47172-1858
Phone (888) 964-6681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Audiology Associates, PC | Audiologist | Current | Accepting new patients |
| Mobile Audiology Associates, P.C. | Audiologist | Current | Accepting new patients |
| Northside ENT, Inc | Audiologist | Current | Accepting new patients |
| Otolaryngology Associates, LLC | Current | Accepting new patients |
Locations
10201 N Illinois St
Ste 110
Carmel, IN 46290
Phone (317) 819-2825
12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656
11725 Illinois St
Ste 445
Carmel, IN 46032
Phone (317) 573-4370
13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370
8040 Clearvista Pkwy
Ste 350
Indianapolis, IN 46256
7823 Old State Road 60
Sellersburg, IN 47172
Phone (812) 246-4272
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEEADA
Organizations & group practices 4
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.
-
- Audiologist
- Indianapolis, IN
- NPI 1316471659
-
- Audiologist
- Carmel, IN
- NPI 1083656672
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1447398839
-
- Audiologist
- Framingham, MA
- NPI 1689601130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1306461371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12065 OLD MERIDIAN ST STE 205",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328777",
"telephone_number": "317-705-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9604 COLDWATER RD STE 103",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252096",
"telephone_number": "765-686-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "CASSANDRA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "DILLARD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.