Individual provider Active NPI

Kimberly Ann Combs, AUD DOCTOR OF AUDIOL

  • Audiologist
  • Mason, OH
National Provider Identifier
1386767150
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0901 Issued in OH
Practice address
6900 Tylersville Rd Ste B
Mason, OH 45040-1593
Phone
(513) 701-9322
Fax
(513) 701-9324
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A0901 OH Primary

Addresses

Primary practice location

6900 Tylersville Rd Ste B
Mason, OH 45040-1593

Mailing address

6900 Tylersville Rd Ste B
Mason, OH 45040-1593
Phone (513) 701-9322

Other identifiers 1

IdentifierTypeStateIssuer
000000878155OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081002000689 OH Practitioner - Qualified Audiologist 6709954852 Reassigns benefits to 1 organization
I20180426000944 SC Practitioner - Qualified Audiologist 6709954852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0901OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Audiologist CurrentSince Jan 1, 2021 Accepting new patients
Southwest Ohio ENT Specialists Inc Past Accepting new patients
Lifestyle Hearing Corporation USA Inc. Audiologist Past Accepting new patients
Black'S Hearing Aid Services, Inc. Audiologist Past Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

5824 Wilmington Pike
Ste 1G
Centerville, OH 45459
Phone (937) 312-9696

7271 N Main St
Ste 5
Dayton, OH 45415
Phone (937) 276-5272

5917 Hoover Rd
Grove City, OH 43123
Phone (614) 991-5948

6929 W 130th St
Ste 201
Parma Heights, OH 44130
Phone (440) 886-1552

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD

Organizations & group practices 4

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1386767150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TYLERSVILLE RD STE B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401593",
            "telephone_number": "513-701-9322",
            "fax_number": "513-701-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TYLERSVILLE RD STE B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401593",
            "telephone_number": "513-701-9322",
            "fax_number": "513-701-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "AUD DOCTOR OF AUDIOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A0901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000878155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.