Individual provider Active NPI

Kristen S. Caron, AUD

  • Audiologist
  • Winchester, MA
National Provider Identifier
1346541737
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4808 Issued in MA
Practice address
955 Main St Ste 306
Winchester, MA 01890-4303
Phone
(781) 218-2225
Fax
(781) 218-2226
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 4808 MA Primary

Addresses

Primary practice location

955 Main St Ste 306
Winchester, MA 01890-4303

Mailing address

955 Main St Ste 306
Winchester, MA 01890-4303
Phone (781) 218-2225

Other practice location 1

31 Broadway
North Haven, CT 06743-2304
Phone (203) 234-1324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810001332 TX Practitioner - Qualified Audiologist 1153642194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81518TXMDMental Health Counselor
4808MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cochlear Clinical Services, LLC Audiologist CurrentSince Nov 28, 2022 Accepting new patients
Clinical Associates, Inc PastSince Jun 14, 2022 Accepting new patients
Ear Nose & Throat Medical and Surgical Group, LLC PastSince Apr 29, 2015 Accepting new patients

Locations

4710 Bellaire Blvd
Ste 325
Bellaire, TX 77401
Phone (713) 668-9800

5282 Medical Dr
Ste 105
San Antonio, TX 78229
Phone (210) 474-6766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBFCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1346541737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 306",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904303",
            "telephone_number": "781-218-2225",
            "fax_number": "781-218-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 306",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904303",
            "telephone_number": "781-218-2225",
            "fax_number": "781-218-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Broadway",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "067432304",
            "country_code": "US",
            "telephone_number": "203-234-1324",
            "fax_number": "203-239-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARON",
        "first_name": "KRISTEN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "4808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.