Kaitlyn Ives, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA9099 Issued in AZ

Practice address

1492 S Mill Ave Ste 301
Tempe, AZ 85281-5676

Phone

(480) 894-5550

NPI assigned

Sep 11, 2014

Last updated

Aug 18, 2021By 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

Other names 1

• Kaitlyn Werho Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Biltmore Ear Nose and Throat, PC

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  • NPI 1881015741
  NPD (past)
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  • Otolaryngology Physician
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  • NPI 1487793295
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1336540178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE",
            "address_2": "STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "602-956-1250",
            "fax_number": "623-321-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 301",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815676",
            "telephone_number": "480-894-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10238 E Hampton Ave Ste 411",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093320",
            "country_code": "US",
            "telephone_number": "480-964-4582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 E McDowell Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062608",
            "country_code": "US",
            "telephone_number": "602-956-1250",
            "fax_number": "623-321-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVES",
        "first_name": "KAITLYN",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA9099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527862",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "WERHO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• 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 18, 2021; 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.