Lindsey Rae Koch, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

375A Issued in SD

Practice address

5124 S Western Ave
Suite 4
Sioux Falls, SD 57108-5047

Phone

(605) 275-5545

Fax

(605) 275-5546

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Specialty ClinicGroup PAC ID 2062669500, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Audiology Specialty Clinic

  • Audiologist
  • Sioux Falls, SD
  • NPI 1609137942
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1487964144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 S WESTERN AVE",
            "address_2": "SUITE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085047",
            "telephone_number": "605-275-5545",
            "fax_number": "605-275-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 S WESTERN AVE",
            "address_2": "SUITE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085047",
            "telephone_number": "605-275-5545",
            "fax_number": "605-275-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "LINDSEY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SD",
            "license": "375A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00902392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD LICENSE",
            "identifier": "375A",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Marie Knutson, ED.S
• Tricia Knutson, M.D.
• Elizabeth A Kobriger, LN
• Machelle Lynn Kocer, MSW, LCSW
• Amy Koch, MA, CCC-SLP
• Michael R Koch, MD
• Richard John Koch, D.D.S.
• Brianna Mae Koedam, BSN,RN
• Tyler John Koedam, MD
• Elizabeth Koehler, PHARMD

• Audiologist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Audiologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.

Verify at the official NPI Registry.