Individual provider Active NPI

Margaret Jeanne Koester, AU.D.

  • Audiologist
  • Huntersville, NC
National Provider Identifier
1538601562
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12207 Issued in NC
Practice address
9710 Sam Furr Rd Unit D
Huntersville, NC 28078-4928
Phone
(702) 896-1909
NPI assigned
Nov 8, 2016
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12207 NC Primary

Addresses

Primary practice location

9710 Sam Furr Rd Unit D
Huntersville, NC 28078-4928

Mailing address

9710 Sam Furr Rd Unit D
Huntersville, NC 28078-4928
Phone (704) 896-1909

Other practice location 1

200 S Herlong Ave Ste A
Rock Hill, SC 29732-1182
Phone (803) 328-1864

Other identifiers 1

IdentifierTypeStateIssuer
SAN139MedicaidSC

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

State licenses

LicenseStateTypeSpecialty
4062SCMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
South Lake Audiology, Inc. PastSince Jun 28, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1538601562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "704-896-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "702-896-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Herlong Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321182",
            "country_code": "US",
            "telephone_number": "803-328-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "MARGARET",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SAN139",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.