Individual provider Active NPI

Katherine Johnston Robertson, AU.D.

  • Audiologist
  • Louisville, KY
National Provider Identifier
1497089049
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0509 Issued in KY
Practice address
117 E Kentucky St
Louisville, KY 40203-2793
Phone
(502) 584-3573
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0509 KY Primary

Addresses

Primary practice location

117 E Kentucky St
Louisville, KY 40203-2793

Mailing address

2226 Holiday Manor Ctr
Ste 4
Louisville, KY 40222-6407
Phone (502) 584-3573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000676 KY Practitioner - Qualified Audiologist 8022152396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Hearing ClinicGroup PAC ID 6800196676, 4 clinicians

Practice addresses (Care Compare)

2226 Holiday Manor Ctr
Suite 4
Louisville, KY 40222-6407
Phone (502) 632-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0509KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Hearing Clinic Audiologist CurrentSince Nov 1, 2015 Accepting new patients
Hear Here LLC Audiologist Past Accepting new patients

Locations

2226 Holiday Manor Ctr
Ste 4
Louisville, KY 40222
Phone (502) 326-3050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1497089049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 HOLIDAY MANOR CTR",
            "address_2": "STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226407",
            "telephone_number": "502-584-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E KENTUCKY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032793",
            "telephone_number": "502-584-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KATHERINE",
        "middle_name": "JOHNSTON",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.