Kimberly R Rollings, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002535A Issued in IN

Practice address

1429 North Sixth Street
Terre Haute, IN 47807

Phone

(812) 234-3788

Fax

(812) 235-3330

NPI assigned

Jul 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Mentock Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Union Associated Physicians Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1891028379
  Medicare reassignment Care Compare group NPD
• Union Associated Physicians Clinic LLC

  • Dermatology Physician
  • Terre Haute, IN
  • NPI 1407404940
  NPD

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1619309804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3170",
            "fax_number": "812-235-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 NORTH SIXTH STREET",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-234-3788",
            "fax_number": "812-235-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINGS",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002535A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MENTOCK",
            "credential": "AU. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luann Cooke Roesch, RPH
• Roger B Bailey LLC
• Keith Rogers, LCSW
• Zoie Rogers
• Roland M Kohr and Associates Inc.
• Ashley Nicole Rollins, MSN APRN FNP-C
• Celiea Deshae Rollins
• Trista Rompa, RBT
• Joseph Rosauer, ATC
• Sydney Rose

• Audiologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.

Verify at the official NPI Registry.