Kristin A Samuelson, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA1347 Issued in AZ

Practice address

975 S. Myrtle Ave
Tempe, AZ 85281

Phone

(480) 965-2373

Fax

(480) 965-0076

NPI assigned

Jan 31, 2007

Last updated

Aug 16, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1326185828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852870102",
            "telephone_number": "480-965-2373",
            "fax_number": "480-965-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S. MYRTLE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-965-2373",
            "fax_number": "480-965-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaria Behavioral Health Center LLC
• Meenakshi Sambharia, MBBS
• Amber Sampson
• Samuel Goldberg MD PC
• Jasmyne Samuels, DDS
• Janet R San George, FNP-C
• Claudia Sanchez Jaramillo
• Maria Fernanda Sanchez-Torres, RBT
• Anyoliny Sanchez, MS
• Kennedy Anne Sanchez

• Audiologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.