Individual provider Active NPI

Karen A Tutt, CCC-A

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1629281175
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2006024387 Issued in MO
Practice address
10097 Manchester Rd
Suite 102a
Saint Louis, MO 63122-1828
Phone
(314) 394-1911
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2006024387 MO Primary

Addresses

Primary practice location

10097 Manchester Rd
Suite 102a
Saint Louis, MO 63122-1828

Mailing address

10097 Manchester Rd
Suite 102a
Saint Louis, MO 63122-1828
Phone (314) 394-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000581 MO Practitioner - Qualified Audiologist 8628146875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006024387MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Professional Hearing Center, LLC Audiologist CurrentSince Jul 12, 2016 Accepting new patients
Hearing Consultants Audiologist Past Accepting new patients
Audiology Consultants, LLC Audiologist PastSince Sep 25, 2019 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

427 Jane Ave
Union, MO 63084
Phone (636) 583-4902

Organizations & group practices 5

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1629281175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER RD",
            "address_2": "SUITE 102A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221828",
            "telephone_number": "314-394-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER RD",
            "address_2": "SUITE 102A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221828",
            "telephone_number": "314-394-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2006024387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.