Active NPI
Kyle Whittle, AUD
- Audiologist
- West Valley City, UT
National Provider Identifier
1518523398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8728370-4101
- Practice address
- 4052 W Pioneer Pkwy Ste 101
West Valley City, UT 84120-2063 - Phone
- (301) 355-7760
- NPI assigned
- May 16, 2019
- Sex
- Male
- 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 | 8728370-4101 | UT | Primary |
Addresses
Primary practice location
4052 W Pioneer Pkwy Ste 101
West Valley City, UT 84120-2063
Mailing address
4052 W Pioneer Pkwy Ste 101
West Valley City, UT 84120-2063
Phone (301) 355-7760
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8728370-4101 | UT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1518523398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4052 W PIONEER PKWY STE 101",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202063",
"telephone_number": "301-355-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4052 W PIONEER PKWY STE 101",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202063",
"telephone_number": "301-355-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTLE",
"first_name": "KYLE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "8728370-4101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.