Individual provider Active NPI

Ann Louise Widener, PHD

  • Audiologist
  • Beaufort, SC
National Provider Identifier
1619955481
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
566 Issued in SC
Practice address
968 Ribaut Rd
Ste 2
Beaufort, SC 29902-5486
Phone
(843) 524-7920
Fax
(843) 525-1230
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 566 SC Primary

Addresses

Primary practice location

968 Ribaut Rd
Ste 2
Beaufort, SC 29902-5486

Mailing address

968 Ribaut Rd
Ste 2
Beaufort, SC 29902-5486
Phone (843) 524-7920

Other identifiers 2

IdentifierTypeStateIssuer
SA0018MedicaidSC
GP1494MedicaidSC

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
566SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Kalady Audiology LLC Audiologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619955481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIBAUT RD",
            "address_2": "STE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-7920",
            "fax_number": "843-525-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIBAUT RD",
            "address_2": "STE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-7920",
            "fax_number": "843-525-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0018",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1494",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.