Blythe H Kitner, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147001314 Issued in IL

Practice address

3100 Sycamore Road
Northern Illinois University
Dekalb, IL 60115-9621

Phone

(815) 753-1441

NPI assigned

Jul 10, 2009

Last updated

Jan 11, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Illinois UniversityGroup PAC ID 2860440195, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Illinois University

  dba Northern Illinois University Institute for Neutron Therapy at Fermilab

  • Radiation Oncology Clinic/Center
  • Batavia, IL
  • NPI 1144327487
  Medicare reassignment Care Compare group NPD
• Anchor Counseling Inc.

  • Community/Behavioral Health Agency
  • Geneva, IL
  • NPI 1982147880
  NPD (past)
• Ronald B Bukowy MD SC

  • Specialist
  • Geneva, IL
  • NPI 1134255490
  NPD (past)
• Tri City Balance Center S.C.

  • Neurology Physical Therapist
  • Geneva, IL
  • NPI 1649306267
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1316176308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SYCAMORE ROAD",
            "address_2": "NORTHERN ILLINOIS UNIVERSITY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159621",
            "telephone_number": "815-753-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SYCAMORE ROAD",
            "address_2": "NORTHERN ILLINOIS UNIVERSITY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159621",
            "telephone_number": "815-753-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITNER",
        "first_name": "BLYTHE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4532303",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kishwaukee Community Hospital (Northwestern Medicine Kishwaukee Hospital)
• Kishwaukee Corporate Health
• Kishwaukee Dental Associates, LTD.
• Kishwaukee Physician Group Inc
• Bethany Marie Kisner-Crosby, MA-SLP-CCC-L
• Daniel Klein, LCSW
• Sarah Lynn Klein
• Gregg A Kling, D.O.
• Madison Kling
• Kloberdanz Oral Surgery and Dental Implants P.C.

• Audiologist in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.