Kaitlin Martha Mihalick, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001650 Issued in VA

Practice address

1037 Champions Way
Ste 100
Suffolk, VA 23435-3764

Phone

(757) 547-9714

Fax

(757) 547-0725

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlin Martha Derrenberger Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesapeake Ear Nose and Throat Associates PCGroup PAC ID 5890773626, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kderrenberger@events.emadirect.md

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.

• Chesapeake Ear, Nose & Throat Associates, P.C.

  dba Eastern Virginia Ear, Nose & Throat Specialists

  • Otolaryngology Physician
  • Chesapeake, VA
  • NPI 1982656088
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1417484551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDEPENDENCE PARKWAY",
            "address_2": "STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205197",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CHAMPIONS WAY",
            "address_2": "STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353764",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALICK",
        "first_name": "KAITLIN",
        "middle_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "DERRENBERGER",
            "middle_name": "MARTHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chiquita Monique Merrill, LPC
• Miangel Home Healthcare, LLC
• Michael a. Lepore, Jr., M.D.
• Mid-Atlantic Womens Care PLC (Specialists for Women)
• Taylor Felts Middleton, FNP-C
• Milestones Community Home Healthcare
• Milestones Community Support Services
• Melissa Joy Miller-Felton
• Cassandra A. Miller, PT, DPT, OCS
• Karl Miller, LCSWA

• Audiologist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.