Individual provider Active NPI

Katherine Elizabeth Stevens, PH.D.

  • Audiologist
  • Buffalo Grove, IL
National Provider Identifier
1437248952
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000694 Issued in IL
Practice address
462 W Half Day Rd
Buffalo Grove, IL 60089
Phone
(847) 276-2735
Fax
(847) 276-2733
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-000694 IL Primary

Addresses

Primary practice location

462 W Half Day Rd
Buffalo Grove, IL 60089

Mailing address

462 W Half Day Rd
Buffalo Grove, IL 60089-6555
Phone (847) 276-2735

Other practice location 1

247 Robert Parker Coffin Rd
Long Grove, IL 60047-9616
Phone (847) 732-9663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000102 IL Practitioner - Qualified Audiologist 2860492410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
147-000694ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Hearing Care, P.C. Audiologist CurrentSince Jan 20, 2007 Accepting new patients

Locations

462 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 276-2735

70 Landover Pkwy
Ste B
Hawthorn Woods, IL 60047
Phone (847) 276-2735

247 Robert Parker Coffin Rd
Long Grove, IL 60047
Phone (847) 276-2735

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1437248952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 W HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896555",
            "telephone_number": "847-276-2735",
            "fax_number": "847-276-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 W HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-276-2735",
            "fax_number": "847-276-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Robert Parker Coffin Rd",
            "address_purpose": "LOCATION",
            "city": "Long Grove",
            "state": "IL",
            "postal_code": "600479616",
            "country_code": "US",
            "telephone_number": "847-732-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.