Active NPI
Katherine Garrity Vanheynigen, AU.D.
- Audiologist
- Boston, MA
National Provider Identifier
1578305207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD100056
- Practice address
- 243 Charles St
Boston, MA 02114-3096 - Phone
- (617) 573-3266
- NPI assigned
- Jun 12, 2024
- 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 | AUD100056 | MA | Primary |
Addresses
Primary practice location
243 Charles St
Boston, MA 02114-3096
Mailing address
243 Charles St
Boston, MA 02114-3096
Phone (617) 573-3266
Other practice location 1
54 Baker Avenue Ext Ste 303
Concord, MA 01742-2139
Phone (978) 369-8780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD100056 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Eye and Ear Infirmary | Current | Accepting new patients |
Locations
243 Charles St
Boston, MA 02114
Phone (617) 523-7900
54 Baker Avenue Ext
Ste 303
Concord, MA 01742
Phone (978) 369-8780
300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1578305207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-573-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-573-3266"
}
],
"practiceLocations": [
{
"address_1": "54 Baker Avenue Ext Ste 303",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422139",
"country_code": "US",
"telephone_number": "978-369-8780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANHEYNIGEN",
"first_name": "KATHERINE",
"middle_name": "GARRITY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "AUD100056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.