Kristin Ann Regan, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000314 Issued in MI

Practice address

2136 Robinson Rd Ste 3
Jackson, MI 49203

Phone

(517) 962-5063

Fax

(517) 962-5209

NPI assigned

May 26, 2006

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 identifiers 2

Other names 1

• Kristin Ann Lu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hear 4 You Hearing Center LLC

  • Audiologist
  • Jackson, MI
  • NPI 1649996398
  NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1629024799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W GANSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024063",
            "telephone_number": "517-962-5063",
            "fax_number": "517-962-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 ROBINSON RD STE 3",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-962-5063",
            "fax_number": "517-962-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00344284",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4678677",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LU",
            "middle_name": "ANN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Redmond
• Chelsea Reed, LLPC
• Alexander Herschel Reese, DO
• Taylor Lynn Reeve, LMSW
• Geoffrey S Reeves, DDS PC
• Regents of the University of Michigan
• Jeannine M. Rehberg, LMSW
• Emily Reidsma
• Renee Reilly
• Kamelia Reinhart

• Audiologist in Jackson, MI
• Providers in Jackson, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.