Active NPI
Kim Marie Austin, MS CCCA
- Audiologist
- Saint Paul, MN
National Provider Identifier
1497880736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 7217
- Practice address
- 393 N Dunlap
#115
St Paul, MN 55104 - Phone
- (651) 646-2427
- Fax
- (651) 649-3018
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- 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 | 7217 | MN | Primary |
Addresses
Primary practice location
393 N Dunlap
#115
St Paul, MN 55104
Mailing address
393 N Dunlap
#115
St Paul, MN 55104
Phone (651) 646-2427
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7217 | MN | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497880736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 N DUNLAP",
"address_2": "#115",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-646-2427",
"fax_number": "651-649-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 N DUNLAP",
"address_2": "#115",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-646-2427",
"fax_number": "651-649-3018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "KIM",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "7217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.