Individual provider Active NPI

Katelyn Johanna Ooms, AUD

  • Audiologist
  • Easley, SC
National Provider Identifier
1427897149
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.7960 Issued in SC
Practice address
424 Rock Springs Rd
Easley, SC 29642-1433
Phone
(864) 442-5555
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.7960 SC Primary

Addresses

Primary practice location

424 Rock Springs Rd
Easley, SC 29642-1433

Mailing address

424 Rock Springs Rd
Easley, SC 29642-1433
Phone (864) 442-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612004463 SC Practitioner - Qualified Audiologist 0648712091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
East Tennessee State University Quillen College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avt AudiologyGroup PAC ID 7416375217, 4 clinicians

Practice addresses (Care Compare)

424 Rock Springs Rd
Easley, SC 29642-1433
Phone (864) 442-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD.7960SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avt Audiology Audiologist CurrentSince May 29, 2024 Accepting new patients

Locations

424 Rock Springs Rd
Easley, SC 29642
Phone (864) 442-5555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1427897149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ROCK SPRINGS RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421433",
            "telephone_number": "864-442-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ROCK SPRINGS RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421433",
            "telephone_number": "864-442-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMS",
        "first_name": "KATELYN",
        "middle_name": "JOHANNA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "AUD.7960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.