Active NPI
Kristen S. Caron, AUD
- Audiologist
- Winchester, MA
National Provider Identifier
1346541737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810001332 | TX | Practitioner - Qualified Audiologist | 1153642194 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81518 | TX | MD | Mental Health Counselor |
| 4808 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cochlear Clinical Services, LLC | Audiologist | Current | Accepting new patients |
| Clinical Associates, Inc | Past | Accepting new patients | |
| Ear Nose & Throat Medical and Surgical Group, LLC | Past | 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
- 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.
-
- Audiologist
- San Antonio, TX
- NPI 1609257823
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1518265966
-
- Nurse Practitioner
- New Haven, CT
- NPI 1679835086
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.