Individual provider Active NPI

Kimberley Sue Hollister, AUD,CCC/A

  • Audiologist
  • Kalamazoo, MI
National Provider Identifier
1376507046
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
6938 Elm Valley Dr Ste 103
Kalamazoo, MI 49009-7436
Phone
(269) 359-5390
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

6938 Elm Valley Dr Ste 103
Kalamazoo, MI 49009-7436

Mailing address

6938 Elm Valley Dr Ste 103
Kalamazoo, MI 49009-7436
Phone (269) 359-5390

Other identifiers 2

IdentifierTypeStateIssuer
804845416MedicaidMI
904826232MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hollister Audiology Services PLLC Audiologist CurrentSince Nov 18, 2025 Accepting new patients
Hearing Associates of Farmington Hills, PLLC Audiologist Past Accepting new patients
Kaczmarski Hearing Services, Inc Past Accepting new patients

Locations

6938 Elm Valley Dr
Ste 103
Kalamazoo, MI 49009
Phone (269) 359-5390

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1376507046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6938 ELM VALLEY DR STE 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097436",
            "telephone_number": "269-359-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6938 ELM VALLEY DR STE 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097436",
            "telephone_number": "269-359-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "KIMBERLEY",
        "middle_name": "SUE",
        "credential": "AUD,CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804845416",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904826232",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.