Active NPI
Nicole M Klatt, AU.D
- Audiologist
- Rothschild, WI
National Provider Identifier
1609168772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 559-156
- Practice address
- 903 Grand Ave Ste C-2
Rothschild, WI 54474-1065 - Phone
- (715) 298-3166
- NPI assigned
- May 9, 2011
- 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 | 559-156 | WI | Primary |
Addresses
Primary practice location
903 Grand Ave Ste C-2
Rothschild, WI 54474-1065
Mailing address
903 Grand Ave Ste C-2
Rothschild, WI 54474-1065
Phone (715) 298-3166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110613000851 | WI | Practitioner - Qualified Audiologist | 1052598372 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1520 N Meade St
Appleton, WI 54911-3762
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medical Group, Inc. | Past | 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 and National Provider Directory roles.
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- Wausau, WI
- NPI 1942084199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1609168772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 GRAND AVE STE C-2",
"city": "ROTHSCHILD",
"state": "WI",
"postal_code": "544741065",
"telephone_number": "715-298-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 GRAND AVE STE C-2",
"city": "ROTHSCHILD",
"state": "WI",
"postal_code": "544741065",
"telephone_number": "715-298-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLATT",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "559-156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rothschild, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.