Individual provider Active NPI

Kerri Klingseis, AUD

  • Audiologist
  • Joint Base Lewis McChord, WA
National Provider Identifier
1508172941
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006179 Issued in PA
Practice address
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone
(703) 405-6571
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006179 PA Primary

Addresses

Primary practice location

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000

Mailing address

4805 Spruce LN NW
Gig Harbor, WA 98335-8171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624003695 MD Practitioner - Qualified Audiologist 0042508020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8000 York Rd
Towson, MD 21252-0001

8000 York Road Towson University
Institute for Well Being
Towson, MD 21252-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maryland Central Payroll Bureau CurrentSince May 24, 2024 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Audiologist CurrentSince May 24, 2024 Accepting new patients

Locations

8000 York Rd
Towson, MD 21252
Phone (410) 704-2000

1 Olympic Pl
Ste 200
Towson, MD 21204
Phone (410) 704-3095

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1508172941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 SPRUCE LN NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 FITZSIMMONS DR",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311000",
            "telephone_number": "703-405-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGSEIS",
        "first_name": "KERRI",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joint Base Lewis McChord, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.