Individual provider Active NPI

Kim L Begin, AUD

  • Audiologist
  • Jackson, MI
National Provider Identifier
1316106487
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000506 Issued in MI
Practice address
1111 Teneyck St
Suite 200
Jackson, MI 49201-2461
Phone
(517) 787-1468
Fax
(517) 841-6917
NPI assigned
Jun 4, 2008
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000506 MI Primary

Addresses

Primary practice location

1111 Teneyck St
Suite 200
Jackson, MI 49201-2461

Mailing address

1111 Teneyck St Ste 200
Jackson, MI 49201-2486
Phone (517) 205-1468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080823000067 MI Practitioner - Qualified Audiologist 1153496278 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000506MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc Audiologist CurrentSince May 27, 2008 Accepting new patients
Henry Ford Pathology Current Accepting new patients

Locations

1111 Teneyck St
Ste 200
Jackson, MI 49201
Phone (517) 205-1468

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

Interoperability endpoints

  • Direct secure messaging: kgreenstein454210@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1316106487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 TENEYCK ST STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012486",
            "telephone_number": "517-205-1468",
            "fax_number": "517-841-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 TENEYCK ST",
            "address_2": "SUITE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012461",
            "telephone_number": "517-787-1468",
            "fax_number": "517-841-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGIN",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.