Kathleen Elise Stanford, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581

Phone

(865) 769-0283

Fax

(865) 769-0281

NPI assigned

May 14, 2019

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 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgewater Speech Hearing IncGroup PAC ID 1254364979, 9 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.

• Bridgewater Speech & Hearing, Inc

  • Audiologist
  • Knoxville, TN
  • NPI 1265560288
  Medicare reassignment Care Compare group NPD
• Rosewood ENT, LLP

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1225116809
  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1659937837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SUBURBAN RD STE 101D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235581",
            "telephone_number": "865-769-0283",
            "fax_number": "865-769-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUBURBAN RD STE 101D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235581",
            "telephone_number": "865-769-0283",
            "fax_number": "865-769-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "KATHLEEN",
        "middle_name": "ELISE",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE",
            "identifier": "81030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meaghan Standridge
• Mercedes Lynn Stanescu
• Michael V Stanfield, D.MIN., L.M.F.T.
• Jamie Ann Stanfill
• Linda Maria Stanfill, OTR
• Brooklyn Stanger
• Aaron Stanley, CPT
• Brian Gene Stanley, NP-C
• Destinee Nicole Stanley, BSW, CPRS
• Hailey Rose Stanley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.