Individual provider Active NPI

Kaitlyn Jolene Froese, AUD

  • Audiologist-Hearing Aid Fitter
  • Scranton, PA
National Provider Identifier
1629645213
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT006759 Issued in PA
Practice address
2300 Adams Ave
Scranton, PA 18509-1598
Phone
(570) 348-6299
Fax
(570) 961-4708
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006759 PA
Audiologist-Hearing Aid Fitter 237600000X AT006759 PA Primary

Addresses

Primary practice location

2300 Adams Ave
Scranton, PA 18509-1598

Mailing address

2300 Adams Ave
Scranton, PA 18509-1598
Phone (570) 348-6299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719000108 PA Practitioner - Qualified Audiologist 3274914593 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006759PAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Valley ENT, P.C. CurrentSince Jul 16, 2022 Accepting new patients
Marywood University CurrentSince Jan 23, 2025 Accepting new patients

Locations

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

2300 Adams Ave
Scranton, PA 18509
Phone (570) 348-6211

Interoperability endpoints

  • Direct secure messaging: kfroese@valleyent.medentdirect.com

Organizations & group practices 2

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1629645213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091598",
            "telephone_number": "570-348-6299",
            "fax_number": "570-961-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091598",
            "telephone_number": "570-348-6299",
            "fax_number": "570-961-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROESE",
        "first_name": "KAITLYN",
        "middle_name": "JOLENE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006759",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.