Active NPI
Kylie Ann Pearson, AUD
- Audiologist
- Port Royal, SC
National Provider Identifier
1447857461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4163
- Practice address
- 1859 N Paris Ave Ste 212
Port Royal, SC 29935-2029 - Phone
- (843) 305-6326
- NPI assigned
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4163 | SC | Primary |
Addresses
Primary practice location
1859 N Paris Ave Ste 212
Port Royal, SC 29935-2029
Mailing address
17 Royal Crest Dr
Hilton Head Island, SC 29928-5506
Phone (703) 727-1538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4163 | Other | SC | SOUTH CAROLINA LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4163 | SC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Speech and Hearing, Inc. | Audiologist | Past | Accepting new patients |
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.
-
- Audiologist
- West Columbia, SC
- NPI 1376054908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1447857461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ROYAL CREST DR",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299285506",
"telephone_number": "703-727-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 N PARIS AVE STE 212",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352029",
"telephone_number": "843-305-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "KYLIE",
"middle_name": "ANN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA LICENSURE",
"identifier": "4163",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Royal, SC
- William Esdorn Oquinn Jr., MD
- Alisha N. Orage Freeman, APRN
- Origin Pelvic Health and Occupational Therapy LLC
- Adrienne Leigh Osborn, LMT, CLT
- Jennifer Rae Parton, MSP, CCC-SLP
- Peipei Yu, DMD, LLC
- Mary Bennett Pickens
- Ashley Pierce, MS, OTR/L
- Kalysta T Pioggia, APRN-CNP
- Faith Lawrence Polkey, M.D., M.P.H.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.