Mitchell David Kissick, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

81388 Issued in TX

Practice address

948 Gruene Rd # 120
New Braunfels, TX 78130-3919

Phone

(830) 627-3777

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gmarcus Franklin M D & Associates

  • Medical Specialty Clinic/Center
  • New Braunfels, TX
  • NPI 1669493821
  Medicare reassignment NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1558092577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 GRUENE RD # 120",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 GRUENE RD # 120",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303919",
            "telephone_number": "830-627-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSICK",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eMDs",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "948 Gruene Rd # 120",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781303919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kingdom Psychotherapy and Wellness
• Aaron Wilson Kirby
• Elizabeth Keenan Kirk, D.C.
• Valerie Palekia Kirksey
• Connie Kiser
• Anne Taylor Kitts, LCSW
• Heidi Klaerner, MSN, APRN, FNP-C
• William Henry Kloss, M.D.
• Scott P Knepper, M.D.
• Mark French Kneuper, MD

• Audiologist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.