Kaitlin Nicole Walsh, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

716156 Issued in WI

Practice address

120 Park Ave Ste 1
Beaver Dam, WI 53916-2132

Phone

(920) 885-5225

Fax

(920) 356-6419

NPI assigned

Oct 27, 2020

Last updated

Sep 9, 2024By 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 names 1

• Kaitlin Nicole Newville Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Face and Skin LLCGroup PAC ID 0244428340, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Face and Skin LLC

  • Otolaryngology Physician
  • Beaver Dam, WI
  • NPI 1942524780
  Medicare reassignment Care Compare group NPD
• Connect Hearing Inc

  • Hearing Aid Equipment
  • Aurora, IL
  • NPI 1265700942

  Audiologist

  NPD (past)
• My Hearing Centers Holding Inc.

  dba AudioNova

  • Hearing Aid Equipment
  • Boynton Beach, FL
  • NPI 1558033142

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1366042509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 GRAND CANYON DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191033",
            "telephone_number": "608-833-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK AVE STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162132",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7432 Mineral Point Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537171710",
            "country_code": "US",
            "telephone_number": "608-833-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KAITLIN",
        "middle_name": "NICOLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "716156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "NEWVILLE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.