Active NPI
Kathryn D Girardin, AU.D.
- Audiologist-Hearing Aid Fitter
- Holyoke, MA
National Provider Identifier
1619186947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 861
- Practice address
- 575 Beech St
Holyoke, MA 01040 - Phone
- (413) 534-2508
- Fax
- (413) 534-2565
- NPI assigned
- May 22, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | DL341 | ME | |
| Audiologist | 231H00000X | AP707 | ME | |
| Audiologist | 231H00000X | 861 | MA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 861 | MA | Primary |
Addresses
Primary practice location
575 Beech St
Holyoke, MA 01040
Mailing address
57 Pequot Point Rd
Westfield, MA 01085-5113
Phone (413) 336-1211
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA58334 | Other | ME | HARVARD PILGRAM |
| 298660099 | Medicaid | ME | |
| 023204 | Other | ME | ANTHEM |
| 110080696A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 861 | MA | MD | Audiologist |
| AP707 | ME | MD | Audiologist |
| DL341 | ME | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Ear Nose & Throat Center LLC | 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.
-
- Otolaryngology Physician
- Scarborough, ME
- NPI 1881767846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1619186947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PEQUOT POINT RD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010855113",
"telephone_number": "413-336-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BEECH ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "01040",
"telephone_number": "413-534-2508",
"fax_number": "413-534-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARDIN",
"first_name": "KATHRYN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "ME",
"license": "DL341",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ME",
"license": "AP707",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "861",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MA",
"license": "861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "AA58334",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298660099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "023204",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110080696A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.