Individual provider Active NPI

Kristina Mundinger, AU.D.

  • Audiologist
  • Hattiesburg, MS
National Provider Identifier
1649607243
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A4533 Issued in MS
Practice address
5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234
Phone
(601) 450-0280
Fax
(601) 450-0282
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A4533 MS Primary

Addresses

Primary practice location

5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234

Mailing address

5128 Old Highway 11
Ste 8
Hattiesburg, MS 39402-6234
Phone (601) 450-0280

Other practice location 1

7777 Hennessy Blvd
Suite 709
Baton Rouge, LA 70808-4300
Phone (225) 765-7735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425001611 MS Practitioner - Qualified Audiologist 0446489561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hearing and Balance LLCGroup PAC ID 5294050662, 6 clinicians

Practice addresses (Care Compare)

5128 Old Hwy 11
Suite 8
Hattiesburg, MS 39402-6234
Phone (601) 450-0280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing and Balance LLC Audiologist CurrentSince Mar 4, 2019 Accepting new patients

Locations

1211 Highway 98 Byp
Columbia, MS 39429

5128 Old Highway 11
Ste 8
Hattiesburg, MS 39402
Phone (601) 450-0280

360 Simpson Highway 149
Ste 170
Magee, MS 39111
Phone (601) 439-0635

11 Professional Pkwy
Petal, MS 39465

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1649607243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11",
            "address_2": "STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-450-0280",
            "fax_number": "601-450-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11 STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-450-0280",
            "fax_number": "601-450-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Hennessy Blvd",
            "address_2": "Suite 709",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084300",
            "country_code": "US",
            "telephone_number": "225-765-7735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDINGER",
        "first_name": "KRISTINA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A4533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.