Kenneth C. Parker, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A71 Issued in TN

Practice address

6151 Shallowford Rd Ste 104
Chattanooga, TN 37421-7803

Phone

(423) 894-1133

Fax

(423) 894-0292

NPI assigned

Feb 13, 2007

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Services of Chattanooga Inc.

  • Audiologist
  • Chattanooga, TN
  • NPI 1770781874

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1568504058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 SHALLOWFORD RD STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217803",
            "telephone_number": "423-894-1133",
            "fax_number": "423-894-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 SHALLOWFORD RD STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217803",
            "telephone_number": "423-894-1133",
            "fax_number": "423-894-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KENNETH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "62-1066612",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "3086884",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn M Parker
• Cathy L Parker, LCSW
• Christine Parker, MD
• Jenna Parker, LCSW
• Kathryn Parker, LCSW
• Kerry J Parker, CRNA
• Lauren Parker
• Matthew Parker, PHARM.D.
• Michael Allen Parker, CRNA
• Reglindis Parker, PMHNP

• Audiologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.