Katherine Dibartolome

Primary specialty

AudiologistTaxonomy code 231H00000X

License

4055 Issued in CA

Practice address

6263 Poplar Ave
Memphis, TN 38119-4701

Phone

(714) 366-9226

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Ear Nose and Throat PCGroup PAC ID 3779568092, 32 clinicians

Practice addresses (Care Compare)

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.

• Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
  • NPI 1689780066
  Medicare reassignment Care Compare group NPD
• Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
  • NPI 1407057276
  NPD
• North Internal Medicine, P. C.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1518982008
  NPD
• Community Living in Kentucky, LLC

  • Community/Behavioral Health Agency
  • Murray, KY
  • NPI 1518281419
  NPD (past)
• Gateway Counseling Services

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1508278458
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1649795204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 MILL GLEN CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161611",
            "telephone_number": "714-366-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194701",
            "telephone_number": "714-366-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26726 Crown Valley Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918006",
            "country_code": "US",
            "telephone_number": "949-276-4008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8001 Centerview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184228",
            "country_code": "US",
            "telephone_number": "901-755-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBARTOLOME",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2325",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "4055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Susan Diangelo, P.T.
• Jesus Hernando Diaz Acevedo, MD, MPH
• Alicia Marie Diaz-Thomas, MD
• Claro F Diaz, MD
• Leiberh Noel Diaz, MD
• Amani Dickerson
• Ariel Dickerson
• Gretchen Dickerson
• Milton Louis Dickerson
• Susan Marie Paul Dickerson, OTR/L

• Audiologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.