Active NPI
Kathleen C Frederick
- Audiologist
- Southfield, MI
National Provider Identifier
1467905869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 160100746
- Practice address
- 27177 Lahser Rd
Southfield, MI 48034-4714 - Phone
- (248) 327-7170
- NPI assigned
- Aug 2, 2016
- 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 | 160100746 | MI | Primary |
Addresses
Primary practice location
27177 Lahser Rd
Southfield, MI 48034-4714
Mailing address
27177 Lahser Rd
Southfield, MI 48034-4714
Phone (248) 327-7170
Other names 1
- Kathleen C Korpieski
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160100746 | MI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1467905869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27177 LAHSER RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480344714",
"telephone_number": "248-327-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27177 LAHSER RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480344714",
"telephone_number": "248-327-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "KATHLEEN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "160100746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "KORPIESKI",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.