Active NPI
Kathryn R. Curtis, AU.D.
- Audiologist
- Mooresville, NC
National Provider Identifier
1558534149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9753
- Practice address
- 140 Gateway Blvd
Mooresville, NC 28117-5540 - Phone
- (704) 664-9638
- NPI assigned
- Apr 4, 2008
- Last updated
- Oct 13, 2022
- 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 | 9753 | NC | Primary |
Addresses
Primary practice location
140 Gateway Blvd
Mooresville, NC 28117-5540
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1049 | Medicaid | SC | |
| P00796917 | Other | SC | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Vanderbilt University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Gateway Blvd
Mooresville, NC 28117-5540
Phone (704) 664-9638
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9753 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Ear Nose & Throat | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Statesville, NC
- NPI 1912999897
-
- Oral and Maxillofacial Surgery Clinic/Center
- Greenville, SC
- NPI 1932169273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1558534149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845",
"telephone_number": "704-873-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GATEWAY BLVD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175540",
"telephone_number": "704-664-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "KATHRYN",
"middle_name": "R.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "9753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1049",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00796917",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.