Active NPI
Katelyn Ellen Thompson, AU.D.
- Audiologist
- Bozeman, MT
National Provider Identifier
1366123770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SLP-AU-LIC-11667
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-AU-LIC-11667 | MT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helton Hearing, Inc. | Audiologist | Current | 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.
-
- Audiologist
- Bozeman, MT
- NPI 1558684464
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.