Active NPI
Katelyn Marie Kenderdine, AU.D.
- Audiologist
- Lititz, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006581
- Practice address
- 235 Bloomfield Dr
Lititz, PA 17543-7791 - Phone
- (717) 925-8856
- NPI assigned
- Aug 30, 2018
- 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 | AT006581 | PA | Primary |
Addresses
Primary practice location
235 Bloomfield Dr
Lititz, PA 17543-7791
Mailing address
463 Creekside LN
Lititz, PA 17543-6812
Phone (267) 210-3618
Other practice location 1
2160 Noll Dr Ste 100
Lancaster, PA 17603-7608
Phone (717) 510-1399
Other practice location 2
226 Willow Valley Lakes Dr
Willow Street, PA 17584-9665
Phone (717) 283-4593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2851 Baglyos Cir
Suite 201
Bethlehem, PA 18020-8038
Phone (610) 867-7134
497 Bushkill Plaza LN
Wind Gap, PA 18091-9602
Phone (610) 776-4512
6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960
6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006581 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physician Associates, LLC | Current | Accepting new patients | |
| A & E Audiology, Inc. | Audiologist | Current | Accepting new patients |
| Specialty Audiology Associates Inc | Current | Accepting new patients |
Locations
3445 High Point Blvd
Ste 400
Bethlehem, PA 18017
Phone (610) 824-5050
2851 Baglyos Cir
Ste 201
Bethlehem, PA 18020
Phone (610) 515-1590
619 Dalton St
Rear
Emmaus, PA 18049
Phone (610) 965-1093
2160 Noll Dr
Ste 100
Lancaster, PA 17603
Phone (717) 392-4327
235 Bloomfield Dr
Ste 108
Lititz, PA 17543
Phone (717) 336-8198
226 Willow Valley Lakes Dr
Willow Street, PA 17584
Phone (717) 735-3133
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76651
Organizations & group practices 4
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
- Bethlehem, PA
- NPI 1487960639
-
- Audiologist
- Lancaster, PA
- NPI 1609836212
-
- Audiology Assistant
- Emmaus, PA
- NPI 1396320388
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1477035160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 CREEKSIDE LN",
"city": "LITITZ",
"state": "PA",
"postal_code": "175436812",
"telephone_number": "267-210-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 BLOOMFIELD DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437791",
"telephone_number": "717-925-8856"
}
],
"practiceLocations": [
{
"address_1": "2160 Noll Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176037608",
"country_code": "US",
"telephone_number": "717-510-1399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "226 Willow Valley Lakes Dr",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "175849665",
"country_code": "US",
"telephone_number": "717-283-4593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDERDINE",
"first_name": "KATELYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.