Individual provider Active NPI

Kristen Herrmann Decelles, AU.D.

  • Audiologist
  • Tampa, FL
National Provider Identifier
1376724385
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1310 Issued in FL
Practice address
3825 Henderson Blvd Ste 600
Tampa, FL 33629-5032
Phone
(813) 751-2263
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AY1310 FL
Audiologist 231H00000X AY1310 FL Primary

Addresses

Primary practice location

3825 Henderson Blvd Ste 600
Tampa, FL 33629-5032

Mailing address

3825 Henderson Blvd Ste 600
Tampa, FL 33629-5032
Phone (813) 751-2263

Other names 1

  • Dr. Kristen H Decelles Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090205000566 FL Practitioner - Qualified Audiologist 8820151327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of South Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkside Audiology LLCGroup PAC ID 2466839311, 2 clinicians

Practice addresses (Care Compare)

3825 Henderson Blvd
Tampa, FL 33629-5037
Phone (813) 391-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Audiology LLC Audiologist CurrentSince Jan 1, 2022 Accepting new patients
St Lukes Cataract & Laser Institute CurrentSince Mar 16, 2020 Accepting new patients

Locations

3825 Henderson Blvd
Ste 600
Tampa, FL 33629
Phone (813) 391-4333

3825 Henderson Blvd
Tampa, FL 33629
Phone (813) 330-0721

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1376724385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295032",
            "telephone_number": "813-751-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295032",
            "telephone_number": "813-751-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECELLES",
        "first_name": "KRISTEN",
        "middle_name": "HERRMANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY1310",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DECELLES",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.