Individual provider Active NPI

Kristen Nicole Sabatino, AU.D.

  • Audiologist
  • Wayne, PA
National Provider Identifier
1316175391
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006128 Issued in PA
Practice address
230 Sugartown Rd Ste 10
Wayne, PA 19087-3071
Phone
(610) 688-6003
NPI assigned
Jun 29, 2009
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006128 PA Primary

Addresses

Primary practice location

230 Sugartown Rd Ste 10
Wayne, PA 19087-3071

Mailing address

230 Sugartown Rd Ste 10
Wayne, PA 19087-3071
Phone (610) 688-6003

Other practice location 1

111 Arrandale Blvd
Exton, PA 19341-1233
Phone (610) 363-2532 ext. 117

Other names 1

  • Kristen Nicole Ficca Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091106000476 PA Practitioner - Qualified Audiologist 1355489691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Goyne & Associates, LLC CurrentSince May 1, 2021 Accepting new patients
Ear, Nose and Throat Associates of Chester County PastSince Jul 31, 2006 Accepting new patients
Ear Nose and Throat Associates of Chester County Audiologist Past Accepting new patients

Locations

230 Sugartown Rd
Ste 10
Wayne, PA 19087
Phone (610) 688-6003

790 E Market St
Ste 180
West Chester, PA 19382
Phone (610) 431-2411

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1316175391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD STE 10",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873071",
            "telephone_number": "610-688-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD STE 10",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873071",
            "telephone_number": "610-688-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Arrandale Blvd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411233",
            "country_code": "US",
            "telephone_number": "610-363-2532 x117",
            "fax_number": "610-363-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABATINO",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "FICCA",
            "middle_name": "NICOLE",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.