Active NPI
Kaitlin Janelle Thoden, AU. D
- Audiologist
- Boca Raton, FL
National Provider Identifier
1457630147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1701
- Practice address
- 1601 Clint Moore Rd
Suite 105
Boca Raton, FL 33487-2768 - Phone
- (561) 393-9150
- NPI assigned
- Aug 11, 2011
- 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 | AY1701 | FL | Primary |
Addresses
Primary practice location
1601 Clint Moore Rd
Suite 105
Boca Raton, FL 33487-2768
Mailing address
1601 Clint Moore Rd
Boca Raton, FL 33487-2768
Phone (561) 393-9150
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Florida, LLC | 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.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1457630147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-393-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"address_2": "SUITE 105",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-393-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THODEN",
"first_name": "KAITLIN",
"middle_name": "JANELLE",
"credential": "AU. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.