Individual provider Active NPI

Katelyn Ellen Thompson, AU.D.

  • Audiologist
  • Bozeman, MT
National Provider Identifier
1366123770
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SLP-AU-LIC-11667 Issued in MT
Practice address
1008 N 7TH Ave Ste H
Bozeman, MT 59715-2567
Phone
(406) 586-0914
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SLP-AU-LIC-11667 MT Primary

Addresses

Primary practice location

1008 N 7TH Ave Ste H
Bozeman, MT 59715-2567

Mailing address

1008 N 7TH Ave Ste H
Bozeman, MT 59715-2567
Phone (406) 586-0914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416003349 OR Practitioner - Qualified Audiologist 9537501028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3502 NE Broadway St
Portland, OR 97232-1821

5200 S Macadam Ave
Suite 200
Portland, OR 97239-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-AU-LIC-11667MTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Helton Hearing, Inc. Audiologist CurrentSince May 16, 2024 Accepting new patients

Locations

1008 N 7th Ave
Ste H
Bozeman, MT 59715
Phone (406) 586-0914

Organizations & group practices 2

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1366123770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N 7TH AVE STE H",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152567",
            "telephone_number": "406-586-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N 7TH AVE STE H",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152567",
            "telephone_number": "406-586-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATELYN",
        "middle_name": "ELLEN",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MT",
            "license": "SLP-AU-LIC-11667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.